Hypertension

Question 1

What are some primary causes of hypertension? (4)

Answer 1

Smoking, obesity, alcohol, stress
Afro-Caribbean ethnicity
Family history

Question 2

What is stage 1 hypertension?

Answer 2

Clinic: > 140/90 mmHg
ABPM: > 135/85 mmHg

Question 3

How would you manage stage 1 hypertension?

if ABPM < 135/85

Answer 3

Advise lifestyle changes

Question 4

What is stage 2 hypertension?

Answer 4

Clinic: 160/100 mmHg
ABPM: 150/95 mmHg

Question 5

How would you manage stage 2 hypertension?

Answer 5

Give mediations

Question 6

What is stage 3 hypertension?

Answer 6

Clinic: 180/110 mmHg

Question 7

What is the first-line treatment for hypertension in a 52 yo white male?

Answer 7

ACE-i (ramipril)

Question 8

How would you treat hypertension in a 52 yo white male, that isn’t controlled by ACE-i?

Answer 8

ACE-i (ramipril) + CCB (amlodipine)

Question 9

How would you treat hypertension in a 52 yo white male that isn’t controlled by ACE-i or CCB?

Answer 9

ACE-i (ramipril) + CCB (amlodipine) + thiazide-like diuretics

Question 10

What is the first-line treatment for hypertension in 48 yo black woman

Answer 10

CCB (amlodipine)

Question 11

How would you manage hypertension in a 48 yo black woman that isn’t controlled by CCB?

Answer 11

CCB (amlodipine) + ACE-i (ramipril)

Question 12

What is the first-line treatment for hypertension in a 57 yo white female?

Answer 12

CCB (amlodipine)