Hypertension Flashcards

1
Q

Mention drug induced hypertension

A
Contraceptive pills
NSAIDs
OTC cold medicine
Glucocorticoid
Liquoriceعرق السوس
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2
Q

Monotherapy in hypertension is in

A

Grade1low risk patient

Very old patient

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3
Q

Indications of B blocker in hypertension

A

Heart failure, angina,post myocardial infarction, atrial fibrillation,واحدةعايزةتحمل اوحامل

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4
Q

Diuretics that used in hypertension with chronic kidney disease

A

Loop,metolazone,indapamide

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5
Q

Mention diuretic that used in hypertension with refractory oedema

A

Loop

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6
Q

Why we should avoid combination of B blocker and Non DHP CCBs

A

For fear of marked
Reduction in heart rate
AVN conduction

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7
Q

Mention drugs that used in hypertension with pregnancy

A

Methyldopa
Labetalol
CCBS

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8
Q

Mention drugs that used in eclampsia

A

IV labetalol
Or nicardipine
Magnesium sulfate

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9
Q

Mention drugs that not recommended in pregnancy

A

ACEI,ARBs,aliskiren

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10
Q

Why ACEI avoided in hypertension with COPD

A

Dry cough

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11
Q

Thiazides are preferred in……

A

Elderly,obese,black

Osteoporosis,recurrent renal stones

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12
Q

When does metabolic side effects of thiazides occur

A

In high dose

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13
Q

Absolute contraindicative of thiazides

A

Sulfonamide hypersensitivity

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14
Q

Mention side effects of thiazides

A

Sulfonamide hypersensitivity
Impotence
Sleep disturbances

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15
Q

Mention characters of
Chlorthalidone
Hydrochlorothiazide
Metolazone

A

Longer acting,of choice
Not associated with metabolic side effect
In renal impairment

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16
Q

Thiazides preferred in…….

_While loop in…………

A

Mild to moderate hypertension
_edema dt heart failure, renal disease.
_resistent hypertension.

17
Q

B blocker with intrinsic sympathomimetic activity cause……

A

+HR,so it’s CI in hypertension

18
Q

Mention side effects of B blocker

A

+risk of new onset diabetes

Not protective against cerebrovascular events

19
Q

ACEI shouldn’t be combined with…….,……….

A

ARB,Aliskiren(selective renin inhibitors)

20
Q

Clonidine used in

A

Hypertensive emergency

21
Q

Doxazosin(a1 blocker)mainly used in

A

Essential hypertension with benign prostatic hypertrophy

22
Q

Used of hydralazine in hypertension

A

2nd choice in eclampsia

23
Q

2drugs used in hypertensive emergency

A

Clonidine

Nitroprusside

24
Q

Drugs used in hypertensive emergency

A

Nitroprusside
Labetalol
Nicardipine
Fenoldopam

25
Q

Drug used in hypertensive emergency with acute coronary syndrome

A

Nitroprusside

26
Q

Drug used in hypertensive emergency with aortic dissection

A

Esmolol

27
Q

Fenoldopam avoided in…….

A

Glaucoma

28
Q

Labetalol avoided in………

A

Heart failure

29
Q

ACEI,ARB are CI in

A

Pregnancy
Hyperkalemia
Bilateral renal artery stenosis

30
Q

Thiazides are CI in…….

A

Gout

31
Q

B blocker CI in

A

COPD, asthma
AVN block
Bradycardia

32
Q

Nitrate donor that induce cyanide toxicity

A

Nitroprusside

33
Q

Treat hypertension during labour

A

Labetalol

34
Q

Treat isolated systolic hypertension

A

Thiazides

35
Q

Worsen angina

A

Pindolol(B blocker with intrinsic sympathomimetic activity)

36
Q

Has no effect on afterload

A

Ivapradine