HYPERTENSION

Question 1

Hypertensive reading

Answer 1

140/90

Question 2

Predominant form of hypertension in the elderly

Answer 2

Isolated systolic >160mm Hg

Question 3

what is dynamic BP?

Answer 3

mean arterial BP

Question 4

Hypertension risk factors?

Answer 4

age
obesity
alcohol
family history
drugs
stress

Question 5

Systemic cause of hypertension

Answer 5

Adrenal gland produces too much aldosterone, cortisol, or hormones similar to adrenaline

Question 6

Diseases linked to hypertension

Answer 6

Cerebrovascular accident
Coronary heart disease
Congestive heart failure
Accelerated hypertension
Renal damage

Question 7

Signs and symptoms of hypertension

Answer 7

usually none
headache
transient ischaemic attacks

Question 8

Cushings syndrome

Answer 8

Production of too much cortisol
= no maintenance of BP

Question 9

Cushing syndrome symptoms

Answer 9

Weak tired and sad
Infertility
“Moon face”

Question 10

Cushing syndrome investigations

Answer 10

Scan for endocrine tumours and renal disease

Question 11

Hypertension investigations

Answer 11

Blood test - presence of lipids
Urine test - electrolyte content
ECG
Occasionally renal ultrasound

Question 12

Normal BP level

Answer 12

120/90 mm Hg

Question 13

Hypertension medications

Answer 13

Thiazide diuretics
Beta blockers
Ca channel antagonists
ACE inhibitors

Question 14

Importance of monitoring blood biochemistry effects of thiazide diuretics

Answer 14

Dehydration - elevated sodium and potassium levels