Hypertension Management

Question 1

You are creating a local prescribing guidance document on hypertension. Choose the recommended target blood pressure for each scenario. Each option may be used once, more than once or not at all.

The target clinic blood pressure for hypertension in renal disease as recommended by SIGN.

The following link is to the BNF https://bnf.nice.org.uk/treatment-summaries/hypertension/.

A. 120/80 mmHg
B. ≤130/80 mmHg
C. <135/85 mmHg
D. <140/80 mmHg
E. <140/90 mmHg
F. <150/80 mmHg
G. <150/100 mmHg
H. <160/80 mmHg

Answer 1

E

Question 2

You are creating a local prescribing guidance document on hypertension. Choose the recommended target blood pressure for each scenario. Each option may be used once, more than once or not at all.

Hypertension in type 1 diabetes with an ACR <70mg/mmol as recommended by NICE.
A. 120/80 mmHg
B. ≤130/80 mmHg
C. <135/85 mmHg
D. <140/80 mmHg
E. <140/90 mmHg
F. <150/80 mmHg
G. <150/100 mmHg
H. <160/80 mmHg

Answer 2

E

Question 3

Hypertension in patients with cardiovascular disease and chronic kidney disease as recommended by SIGN.

A. 120/80 mmHg
B. ≤130/80 mmHg
C. <135/85 mmHg
D. <140/80 mmHg
E. <140/90 mmHg
F. <150/80 mmHg
G. <150/100 mmHg
H. <160/80 mmHg

Answer 3

C

Question 4

Hypertension in type 1 diabetes with kidney problems present as recommended by SIGN. If the ACR is 70 mg/mmol or mor
A. 120/80 mmHg
B. ≤130/80 mmHg
C. <135/85 mmHg
D. <140/80 mmHg
E. <140/90 mmHg
F. <150/80 mmHg
G. <150/100 mmHg
H. <160/80 mmHg

Answer 4

B

Question 5

Hypertension in type 1 diabetes with an ACR <70mg/mmol as recommended by NICE.
A. 120/80 mmHg
B. ≤130/80 mmHg
C. <135/85 mmHg
D. <140/80 mmHg
E. <140/90 mmHg
F. <150/80 mmHg
G. <150/100 mmHg
H. <160/80 mmHg

Answer 5

E

Question 6

Hypertension in type 2 diabetes as recommended by NICE.
A. 120/80 mmHg
B. ≤130/80 mmHg
C. <135/85 mmHg
D. <140/80 mmHg
E. <140/90 mmHg
F. <150/80 mmHg
G. <150/100 mmHg
H. <160/80 mmHg

Answer 6

E

Question 7

Clinic BP ranges for diagnosis of hypertension and actions required?

Answer 7

Question 8

Draw treatment diagram for hypertension management

Answer 8

Question 9

Pregnancy: What is first line licensed medication in hypertension?
A. Labetalol
B. Nifedipine
C. Ramipril
D. Methyldopa
E. Hydralazine
F. Amlodipine

Answer 9

A

Question 10

Pregnancy: What is the next anti hypertensive that can be used in hypertension management?
A. Labetalol
B. Nifedipine
C. Ramipril
D. Methyldopa
E. Hydralazine
F. Amlodipine

Answer 10

Nifedipine first and if not effective THEN methyldopa (all unlicensed use)

Question 11

For breast-feeding mothers what antihypertensive is first line use?
A. Labetalol
B. Nifedipine
C. Enalapril
D. Methyldopa
E. Hydralazine
F. Amlodipine

Answer 11

C

Question 12

When must methyldopa be stopped in pregnant with hypertension?

Answer 12

2 days before delivery

Question 13

For breast feeding mothers who are black what antihypertensive is first line for use?
A. Labetalol
B. Nifedipine
C. Ramipril
D. Methyldopa
E. Hydralazine
F. Amlodipine

Answer 13

F or B

Question 14

Which antihypertensive can be given IV in pregnant hypertensive mothers?
A. Labetalol
B. Nifedipine
C. Ramipril
D. Methyldopa
E. Hydralazine
F. Amlodipine

Answer 14

E and A

Question 15

What other antihypertensives can be used in breast feeding mothers
A. Labetalol
B. Nifedipine
C. Atenolol
D. Methyldopa
E. Hydralazine
F. Amlodipine

Answer 15

A and C

Question 16

A. Candesartan cilexetil
B. Indapamide
C Methyldopa
D. Modified-release nifedipine
E Perindopril arginine
F. Phentolamine mesilate
G. Sodium nitroprusside
H. Verapamil hydrochloride
For each of the scenarios below, select from the list above the drug which is most likely being referred to. Each option may be used once, more than once, or not at all.

117. A 45-year-old Egyptian man has been diagnosed with hypertension. After being initiated on the first- line treatment 2weeks ago, he is now complaining of side effects which he is not prepared to put up with any longer. His GP agrees to try a different drug. What should this be?
118. A 31-year-old pregnant woman has developed hypertension during her second trimester. As hypertensive complications in pregnancy can be hazardous for both the mother and the foetus, her GP decides to prescribe an appropriate antihypertensive.
     119.

Answer 16

117. A 118. D