Hypertension 2

Question 1

What does a no salt added diet do to your blood pressure?

Answer 1

It reduces BP by 2-4mmHg

Question 2

Calcium, magnesium, potassium, or combination salts benefit BP. True or false?

Answer 2

False no evidence of BP benefit

Question 3

Proporional risk reduction is (dependant/independant) of the absolute level of the risk factor

Answer 3

Independant

Question 4

Everybody is hypertensive and dyslipidaemic. True or False?

Answer 4

True

Question 5

Treatment with any commonly used regimen reduces the risk of total major cardiovascular events. True or false?

Answer 5

True

Question 6

What things using controlled trials of antihypersensitive drugs benefits?

Answer 6

Constant across BP range
All age groups
Systolic and diastolic hypertension
All levels of CV risk

Question 7

How much does BP go down for every kg lost?

Answer 7

1mmHg per Kg

Question 8

What are the main benefits of antihypertensive therapy due to?

Answer 8

BP lowering

Question 9

In newly diagnosed hypertension for a person under 55 how do you treat them?

Answer 9

ACE inhibitors
- if ineffective-
ACE inhibitors + Calcium channel blocker
or
ACE inhibitors + Diuretics
-If ineffective-
ACE inhibitors + Calcium channel Blockers + Diuretics

Question 10

ABCD approach of treating

Answer 10

ACE inhibitors- under 55 unless fertile female
Beta blockers }
Calcium channel blockers } These are for 55 and
Diuretics } above or black any age

Question 11

How do you treat newly diagnosed hypertension in a 55 or over person or a back person of any age?

Answer 11

Step 1 - Calcium channel blockers or Diuretics

Step 2- ACE inhibitors + Calcium channel blockers
or
ACE inhibitors + Diuretics

Step 3- ACE inhibitors + Calcium channel blockers +
Diuretics

Question 12

B blockers should remain first choice in use of primary hypertension. True or False?

Answer 12

False. Not very effective

Question 13

Why not use B blockers in hypertension?

Answer 13

Increased use of beta blockers can cause complicated hypertension with

• Arrythmias
• Coronary artery disease
• Increased sympathetic activity
• Congestive heart failure

Question 14

Best bang for buck drugs in hypertension?

Answer 14

ACEIs then ARBs

Low dose no titration

Question 15

Starting treatment with 2 drugs is always better than starting with one. True or false?

Answer 15

True

Question 16

Which has fewer side affects mono therapy or combination therapy?

Answer 16

Combination therapy

Question 17

Causes of resistant hypertension?

Answer 17

Non-concordance 
'White coat' effect 
Pseudo-hypertension 
Lifestyle factors 
Drug interactions 
Secondary hypertension 
True resistance