Jeopardy Segment of Pales HTN CIS

Question 1

Cough is the most annoying side effect of which BP med

1. Amlodipine
2. Clonidine
3. Diltiazem
4. Lisinopril
5. Losartan

Answer 1

Lisinopril

Question 2

This BP medication may lead to severe symptomatic bradycardia including heart block when added to a Beta blocker
Hydrochlorothiazide
Lisinopril
Losartan
Nifedipine
Verapamil

Answer 2

Verapamil

Question 3

Hyperkalemia is a possible life-threatening side effect of which blood pressure medication?

Amlodipine
Carvedilol
Hydrochlorothiazide
Methyldopa
Valsartan

Answer 3

Valsartan (ARBs cause hyperkalemia)

Question 4

This medication is a drug of choice for treatment of blood pressure for patients with mild to moderate kidney disease (especially with proteinuria), but in patients with severe kidney disease it may tip patient into the ESRD.

Doxazosin
Felodipine
Metoprolol
Ramipril
Spironolactone

Answer 4

Ramipril

Question 5

How can ACE inhibitors help/hurt the kidneys?

Answer 5

Help: decreases pressure in the glomerulus, preventing sclerosis of the glomeruli.

Hurt: Lowers GFR, if GFR drops too low this can send the patient into ESRD

Almost certainely a TQ here.

Question 6

Patients with severe sulfa allergies should avoid this BP medication

Amlodipine
Carvedilol
Hydrochlorothiazide
Methyldopa
Valsartan

Answer 6

Hydrochlorothiazide

Question 7

Alcoholic withdrawals symptoms are helped with this blood pressure medication

Amlodipine
Clonidine
Furosemide
Labetalol
Minoxidil

Answer 7

Clonidine

Question 8

Patients with history of severe asthma could get an asthma exacerbation with initiation of this blood pressure medication
Amlodipine
Candesartan
Captopril
Labetalol
Terazosin

Answer 8

Labetalol

Question 9

This medication precipitated condition shown on this picture.

Captopril
Carvedilol
Chlorthalidone
Clonidine
Hydralazine

Answer 9

Chlorthalidone - Thiazides exacerbate the gout by increasing uric acid

Question 10

This medication may help with symptoms of prostate enlargement, but may cause reflex tachycardia

Amlodipine
Candesartan
Captopril
Labetalol
Terazosin

Answer 10

Terazosin

Question 11

All of these medications may cause lower extremities edema, except which one?

Amlodipine
Hydralazine
Metoprolol
Minoxidil
Terazosin

Answer 11

Metoprolol

Question 12

All peripheral vasodilators cause what?

Answer 12

Edema

Question 13

Watch out for drug induced lupus when you use this Blood Pressure medication at high doses.

Amlodipine
Hydralazine
Losartan
Propranalol
Verapamil

Answer 13

Hydralazine

Question 14

If you gave a patient hydralazine induced lupus, how would you diagnose it?

Answer 14

Antihistone antibodies

Question 15

This medication may worsen blood sugar control in diabetic patients
Amlodipine
Diltiazem
Hydrochlorothiazide
Methyldopa
Valsartan

Answer 15

Hydrochlorothiazide

Question 16

Also used as a hair growth product for alopecia, this BP medication should be used with caution in women not desiring hursitism.
Amlodipine
Hydralazine
Metoprolol
Minoxidil
Terazosin

Answer 16

Minoxidil

Question 17

This diuretic blood pressure medication should be used in patients with systolic heart failure and in patients with one specific cause of secondary HTN, though it may cause gynecomastia in men.
Ethacrinic
Hydrochlorothiazide
Furosemide
Spironolactone
Triamterene

Answer 17

Spironolactone

Question 18

According to JNC-VIII guidelines, this medication class is recommended for initial treatment of HTN in non-black population, but not in African-American patients.

ACE Inhibitors
Beta blockers
Calcium Channel blockers
Direct Vasodialators
Thiazide diuretics

Answer 18

ACE inhibitors

Question 19

In patients with diabetes, the best initial choice of an antihypertensive medication is

Carvedilol
Hydralazine
Hydrochlorothiazide
Lisinopril
Metoprolol

Answer 19

Lisinopril (ACE inhibitor or ARB for initial choice in diabetics)

Question 20

Patient with recent heart attack, should be on this BP medication
Clonidine
Diltiazem
Hydralazine
Hydrochlorothiazide
Metoprolol

Answer 20

Metoprolol - Beta blockers for post MI patients

Question 21

In patients with systolic congestive heart failure, all but one of these blood pressure medications should be the first ones to be prescribed.

Bisoprolol
Enalapril
Losartan
Nifedipine
Spironolactone

Answer 21

Nifedipine

Question 22

What drugs need to be used for CHF patients?

Answer 22

Beta blocker

ARB

Aldosterone inhibitor

ACE Inhibitor

Question 23

These combination pill is frequently used in treatment of HTN. Each of the medication within the combination often cancel each other’s opposing effect on serum potassium level.

Amlodipine/Valsartan (Exforge)
Atenolol/chlorthalidone (Tenuretic)
Benazapril/Amlodipine (Lotrel)
Lisinopril/hydrochlorothiazide (Zestoretic)
Trandalapril/Verapamil (Tarka)

Answer 23

Lisinopril/hydrochlorothiazide (Zestoretic)

Thiazide = hypokalemia

ACE inhibitor = Hyperkalemia

Question 24

In pregnant patients, this medication is preferred to treat HTN because it’s one of the oldest and the most studied in pregnancy

Aliskiren
Hydrochlorothiazide
Lisinopril
Losartan
Methyldopa

Answer 24

Methyldopa

Question 25

Angioedema is a rare but scary and life threatening side effect of this medication, especially in patients with C1 esterase deficiency. Doxazosin Felodipine Metoprolol Ramipril Spironolactone

Answer 25

Ramipril

Question 26

Cocaine addict coming with severe HTN should not be treated with this medication alone Amlodipine Clonidine Diltiazem Labetolol Propranolol

Answer 26

Propranolol - Cocaine is alpha/beta agonist, if you block the beta effect you have an unopposed alpha effect. Alpha effect will increase HTN and worsen the scenario.

Question 27

Patients with hypertensive emergencies can be treated with all of the below medication except for this one. Nitroprusside Labetalol Hydralazine Enalapril Losartan

Answer 27

Losartan - Not in IV format. Nitroprusside would be best most likely

Question 28

Thiazide diuretics may decrease all of the following electrolytes in the blood except: Calcium Chloride Magnesium Potassium Sodium

Answer 28

Calcium

Question 29

If you abruptly stop this medication, it may cause severe rebound hypertension Aliskeran Clonidine Diltiazem Losartan Propranolol

Answer 29

Clonidine

Question 30

This medication can cause a side effect shown on this picture: Amlodipine Hydralazine Lisinopril Minoxidil Terazosin

Answer 30

Lisinopril - Angioedema

Question 31

This medication can cause a side effect shown on this picture: Amlodipine Metoprolol Lisinopril Losartan Hydrochlorothiazide

Answer 31

Amlodipine

Question 32

After MI, what agents should be used? (2)

Answer 32

1. Beta blocker 1. ACE inhibitor

Question 33

After MI, what drugs should caution be used with?

Answer 33

Direct vasodilators

Question 34

In CHF, what agents should you use?

Answer 34

Ace Inhibitor Diuretics Beta blockers

Question 35

What drugs should be regarded cautiously in CHF

Answer 35

Beta blockers, (also here, I guess in the presence of pulmonary edema?) CCB

Question 36

What drugs are indicated in hypertrophic cardiomyopathy?

Answer 36

Beta Blockers CCB

Question 37

What drugs should you be careful with in hypertrophic cardiomyopathy?

Answer 37

Diuretics ACE Inhibitors Direct Vasodilators (nondihydropyridines)

Question 38

What drugs are good for tachyarrythmias?

Answer 38

Beta blockers Verapamil

Question 39

What drugs are good for Angina?

Answer 39

Beta blockers CCB Nitroglycerin

Question 40

What drugs should be approached with caution in angina?

Answer 40

Direct vasodilators

Question 41

COPD/ROAD good drugs include?

Answer 41

CCB

Question 42

COPD/ROAD should make you cautious about using?

Answer 42

beta blockers

Question 43

Good drugs for aortic dissection include?

Answer 43

nitroprusside beta blocker

Question 44

Drugs that should be regarded with caution in aortic dissection include?

Answer 44

Drugs that increase cardiac output

Question 45

In bilateral renal artery stenosis you should hesitate to use?

Answer 45

ACE inhibitors Angiotensin receptor blockers (may worsen renal function)

Question 46

What are three good categories of drugs for chronic renal insufficiency?

Answer 46

Ace Inhibitors (With serum creatinine \<2.5), Loop diuretics CCB

Question 47

What are two drug categories that should be treated with caution in patients with chronic renal insufficiency?

Answer 47

ACE Inhibitors, (in both categories, use but be careful) Angiotensin blockers (may worsen renal function)

Question 48

What is a category of drugs that should be regarded with caution in renal transplant patients?

Answer 48

ACE Inhibitors

Question 49

List two categories of drugs that are good for migraine headaches

Answer 49

Beta blockers CCB

Question 50

What is one category of drugs that is good for stroke or TIA HTN treatment?

Answer 50

ACE Inhibitors ## Footnote (may allow reestablishment of cns autoregulation)

Question 51

What type of drugs should be regarded with caution in patients with stroke or TIA?

Answer 51

Vasodilators - may increase cranial pressure

Question 52

In patients with diabetes, what drugs are good?

Answer 52

ACE Inhibitors ARBS

Question 53

Drugs that are good in pregnancy?

Answer 53

Methyldopa, Hydralazine; Beta blockers with caution

Question 54

Drugs that are bad in pregnancy?

Answer 54

ACE Inhibitors, Angiotensin blockers, (may cause renal agenesis) Diuretics

Question 55

In gout, what drugs should be avoided?

Answer 55

Diuretics (worsen joint pain or precipitate gout)

Question 56

In a cocaine user, what drugs are best?

Answer 56

labetalol and clonidine

Question 57

What drugs are bad in cocaine users?

Answer 57

Selective B-blockers

Question 58

What drugs are good for HTN in a patient with GI bleed?

Answer 58

Non-selective Beta Blocker (lower portal blood pressure)

Question 59

What drugs are good in HTN control of patients with pheochromocytoma?

Answer 59

Alpha Blocker – then – Beta blockade

Question 60

What drugs are bad for pheochromocytoma patients?

Answer 60

Selective Beta Blocker (unopposed alpha agonism)

Question 61

What is a good drug for BPH?

Answer 61

Alpha-1 antagonist Tamsulosin in particular due to selectivity for alpha 1A receptors