Hypertension

Question 1

What’s the BP goal in someone who is 60 or older without DM?

Answer 1

<150/90

Question 2

What’s the BP goal in an adult who is younger than 60 or with DM at any age?

Answer 2

140/90

Question 3

When is it good to start two drugs at the same time to treat HTN?

Answer 3

When the person is 20/10 mmHg above goal BP

Question 4

According to JC8, what is first line HTN treatment in non-blacks without DM/CKD

Answer 4

thiaziade alone or in combination with an ACEI, ARB, CCB

Question 5

According to JC8, what is first line HTN treatment in blacks without DM/CKD

Answer 5

thiaziade alone or in combination with a CCB

Question 6

According to JC8, what is the first line treatment in someone with CKD?

Answer 6

ACE or ARB alone

or combo with another class

Question 7

What’s the JC8 first line treatment in blacks, with or without diabetes, but without CKD, at any age?

Answer 7

Thiazide or CCB, alone or in combo

Question 8

If you are not at blood pressure goal after first line, then what?

Answer 8

Reinforce lifestyle mods

titrate to max dose or consider adding another

ACE, ARB, CCB

Question 9

If you are not at blood pressure goal after second step, then what?

Answer 9

Reinforce lifestyle mods

add another class of drugs not already selected Beta-blocker or aldosterone antagonist

Question 10

What is the daily sodium intake for a hypertension patient?

Answer 10

maximum 2400 mg

Question 11

If your treatment is refractory to lowering BP, what should you suspect?

Answer 11

Secondary HTN

reanal artery stenosis

sleep apnea

EToH

OCP

Cox-2 inhibitors