Hypertension

Question 1

the tightest disease link with BP

Answer 1

Stroke

Question 2

Is life style modification needed for Pre-Htn?

Answer 2

Yes

Question 3

BP lowering prevents _____ better than it prevents ______

Answer 3

Strokes

MI

Question 4

Compelling indications

Answer 4

Heart failure
Diabetes with proteinuria
CAD
- prior MI
- High risk
Chronic Renal insufficiency 
CVA

Question 5

What is necessary to maintain hypertension

Answer 5

Altered renal “set point”

Question 6

Sustained hypertension requires what

Answer 6

renal involvement

Question 7

Underappreciated cause of hypertension

Answer 7

Sleep apnea

Question 8

Malignant hypertension

Answer 8

Medical emergency

Acute vascular injury - usually in retinal exam

Question 9

Who should be evaluated for secondary hypertension?

Answer 9

• Htn presents “early”
• no family history
• severe/difficult to control

Question 10

Types of Renovascular hypertension

Answer 10

Fibromuscular dysplagia

Atheromatous

Question 11

Describe fibromuscular dysplagia

Answer 11

• young
• more Female
• familial
• responds to correction
• Unusual in ppl of African descent

Question 12

When should CT be done in Pheochromocytoma

Answer 12

after biochemical determination

Question 13

When is hypokalemia a red flag?

Answer 13

In face of ACE-I

Question 14

What is hypokalemia a clue for

Answer 14

Hyperaldosteronism

Question 15

How do you evaluate Hypoaldo

Answer 15

Stimulate renin with diuretic

Suppress aldo with volume expansion

Question 16

Risk factors for atherosclerosis

Answer 16

Smoking
Dyslipidemia
age - older than 60
Male or post-menopausal female
Family history

Question 17

Uncomplicated Hypertension

Answer 17

Diuretics

Question 18

DM

Answer 18

ACE-I or ARB

Question 19

MI

Answer 19

Beta blocker

Question 20

systolic heart failure

Answer 20

ACE-I or ARB