Hypertension

Question 1

First line anti-hypertensive in Diabetes Mellitus

Answer 1

ACE-ihibitor/ARB

Question 2

True or false: the first line anti-hypertensive for over 55s is an ACE-i/ARB

Answer 2

FALSE - first line is CCBs

Question 3

Blood pressure target in under 80s

Answer 3

140/90 mmHg

Question 4

Blood pressure target in over 80s

Answer 4

150/90 mmHg

Question 5

Blood pressure target in T1DM

Answer 5

135/85 mmHg

Aim for <130/80 mmHg if other risk factors are present

Question 6

True or false: MR nifedipine is considered safe to use in pregnancy

Answer 6

TRUE - labetalol and methylodpa can also be used

Question 7

First line antihypertensive in portal hypertension

Answer 7

Carvedilol

Question 8

Which class of diuretic may cause hypercalcaemia?

Answer 8

Thiazides

Question 9

Amiloride May cause urine to appear what colour

Answer 9

Blue

Question 10

Which beta blockers are less likely to cause cold extremities or bradycardia

(3 points)

Answer 10

Pindolol

Acebutolol

Celiprolol

Question 11

Which beta blockers are water soluble and therefore less likely to cause nightmares

(4 points)

Answer 11

Atenolol

Celiprolol

Bisoprolol

Sotalol

Question 12

Which beta blockers have a long duration of action and therefore only need to be taken once a day

(3 points)

Answer 12

Atenolol

Bisoprolol

Nadolol

Question 13

Which beta blockers are cardio selective

5 points

Answer 13

Atenolol

Bisoprolol

Metoprolol

Nebivolol

Acebutolol

Question 14

Which beta blockers are known to reduce mortality post MI

3 points

Answer 14

Atenolol

Propranolol

Metoprolol

Question 15

Which beta blockers reduce mortality in HF

Answer 15

Bisoprolol

Carvedilol

Question 16

True or false:

Beta blockers are recommended in unstable heart failure

Answer 16

FALSE

They are used in HF but are contraindicated if HF is unstable

Question 17

True or false:

Verapamil can cause constipation

Answer 17

TRUE

This is listed in the BNF as the most common side effect of verapamil.

Question 18

True or false:

Baclofen increases the hypotensive effects of antihypertensives

Answer 18

True

Question 19

Stage one hypertension is a clinic BP of _______

Answer 19

140/90 mmHg - 159/99 mmHg

Question 20

Stage 2 hypertension is a clinic BP of ______

Answer 20

160/100 mmHg - 179/119 mmHg

Question 21

Stage 3 hypertension is a clinic BP of ______

Answer 21

> /= 180 mmHg systolic or 120 mmHg diastolic

Question 22

True or false:

ARBs are preferred of ACE inhibitors in patients or Afro Caribbean descent

Answer 22

TRUE

Question 23

Insomnia is listed as a side effect of which ACE inhibitor?

Answer 23

Captopril

listed as a common or very common side effect