Hypertension

Question 1

BP Goals for general population ≥ 60 y/o

Answer 1

Reduce BP to < 150/90 mm Hg for everyone ≥ 60

Question 2

BP Goals for diabetes

Answer 2

<140/90 (ADA recommends < 140/80)

Question 3

BP Goals for Chronic Kidney Disease (CKD)

Answer 3

<140/90

Question 4

BP Goals for general population < 60 y/o

Answer 4

Reduce BP to < 140/90 mm Hg for everyone < 60, including those with a kidney disorder or diabetes

Question 5

Cuff bladder should be _____________ of arm circumference

Answer 5

Cuff bladder should be 80% of arm circumference

Question 6

Most common cause of secondary HTN

Answer 6

Chronic Kidney Disease

Question 7

Hypertensive Urgency - BP must be reduced within a few hours

Answer 7

Persistent asymptomatic SBP > 220 and/or diastolic > 125

Question 8

↑ BP + target organ damage DBP > 130 = ?

tx goal?

Answer 8

Hypertensive Emergency - BP must be reduced in 1 hour to avoid morbidity or death. Reduce pressure by no more than 25% within 1-2 hours and then towards 160/100 within 2-6 hours

Question 9

Malignant Hypertension

Answer 9

DBP ≥ 130
SBP ≥ 200
Characterized by encephalopathy or nephropathy with papilledema

Question 10

Associated with cough, angioedema and can cause hyperkalemia (med class)

Answer 10

Ace inhibitors

Question 11

Can cause hyperkalemia (med)

Answer 11

Spironolactone

Question 12

Contraindicated in Asthma and may cause impotence (med class)

Answer 12

β-blockers

Question 13

Can cause leg edema (med class)

Answer 13

Calcium channel blockers

Question 14

These are rate control CCBs

Answer 14

Verapamil and Diltiazem (Non-dihydropyridines)

Question 15

This class of medicine can be used to treat hypertension and BPH

Answer 15

α-blockers

Question 16

Lupus like syndrome and can cause pericarditis (med)

Answer 16

Hydralazine (vasodilator)