Hypertension

Question 1

As a PCP the DC is well positioned to screen for

Answer 1

Hypertension

Question 2

Hypertension may lead to

Answer 2

Heart failure
Aortic disection
Renal failure
Leading cause of hemorrhagic stroke

Question 3

Hypertension causes

Answer 3

Poor diet

Lack of exercise and bad habits

Question 4

Lack of exercise and bad habits cause ___ of hypertension

Answer 4

90%

Question 5

Normal BP

Answer 5

<120 mmHg systolic and <80 mmHg diastolic

Question 6

Elevated hypertension

Answer 6

120-129 mmHg systolic and <80 mmHg

Question 7

Stage 1 hypertension

Answer 7

130-139 mmHg systolic or 80-89 diastolic

Question 8

Stage 2 hypertension

Answer 8

> 140 mmHg systolic or >90 mmHg diastolic

Question 9

New staging has resulted in ___ of US population has hypertension instead of 32%

Answer 9

42%

Question 10

Now most ____ adults have hypertension

Answer 10

Black

56% women, 59% men

Question 11

Everyone over 65 should be treated if systolic is

Answer 11

> 130

Question 12

Prehypertension category

Answer 12

Doesn’t exist

Question 13

Remains the most common dx in US

Answer 13

Hypertension

Question 14

CV disease ___ in healthcare costs

Answer 14

320Billion

Question 15

Risk of HTP increases with

Answer 15

Age

Question 16

Primary HTN =

Answer 16

95% of cases

Question 17

Hypertenstion exam wait ___ after smoking or drinking

Answer 17

30-60 minutes

Question 18

Mercury sphygmomanometer is

Answer 18

Preferable

Question 19

If normal BP at 55, still have 90% chance of developing

Answer 19

Hypertension

Question 20

False increased BP may be caused by

Answer 20

Too small of cuff
Pain
Caffeine anxiety
Full pt bladder
Cold weather
Deflating bladder too rapidly
Recent alcohol or nicotine

Question 21

False low BP may be due to

Answer 21

Too large of cuff
Recent meal
Leaky bulb
Deflating too rapidly
Bell pressure too hard

Question 22

White coat syndrome effect

Answer 22

Systolic inc 5.3-6.9 mmHg

Question 23

Unsupported arm effect

Answer 23

Diastolic inc 10%

Question 24

Back not supported effect

Answer 24

Diastolic inc 6 mmHg

Question 25

Crossed legs effect

Answer 25

Systolic inc 8 mmHg

Question 26

Lack of calibration effect

Answer 26

46% failure rate in privare

Question 27

Indicators for secondary hypertension

Answer 27

Drug resistant HTN
Abrupt onset of HTN
Onset >30 yo
Onset of diastolic HTN in geriatric
Unprovoked hypokalemia

Question 28

4 most common causes of secondary HTN

Answer 28

Renal dz
Renal artery dz
Primary aldosteronism
Obstructive sleep apnea

Question 29

Atrial fib is

Answer 29

On the rise

Question 30

__ of atrial fibrillation patients have HTN

Answer 30

80%

Question 31

Most common comorbid condition

Answer 31

Atrial fibrillation

Question 32

Elevated BP

Answer 32

Lifestyle modification advice and re-chekc in 3 months

Question 33

Stage 1 BP

Answer 33

One BP lowering drug

Question 34

Stage 2 BP

Answer 34

2 BP lowering drugs and lifestyle modifications

Question 35

5 major categories of HTN drugs

Answer 35

Diuretics
Angiotenson converting enzyme (ace) inhibitors
Angiotenson receptor blockers (ARBs)
Calcium channel blockers
Alpha-blockers

Question 36

No drgu was better than __ for first time outcome

Answer 36

Thiazides

Question 37

Screen patients for HTN normal BP

Answer 37

Recommend lifestyle changes as a preventative measure

Question 38

For those with elevated BP or stage 1 without clinical CV dz

Answer 38

Recommend lifestyle changes for 3 months then re-check

Question 39

For stage 2

Answer 39

Refer to internist