masterclass 1

Question 1

what to do if you find HTN

Answer 1

give an ambulatory blood pressure machine to prove

Question 2

stage 1 HTN

Answer 2

above 140/90

Question 3

stage 2 HTN

Answer 3

above 160/100

Question 4

severe HTN

Answer 4

180 systolic or 110 diastolic

Question 5

describe ambulatory blood pressure machine

Answer 5

goes off whenever

Question 6

under 50 HTN drug

Answer 6

ACEi

Question 7

over 50 HTN drug

Answer 7

CCB

Question 8

order of drugs in HTN

Answer 8

ACEi>CCB>thiazide like diuretic>spironolactone

Question 9

who isnt ACEi recommended for

Answer 9

atricans

Question 10

ACEi adverse effects

Answer 10

cough, AKI predisposition, hyperkalaemia, angioedema

Question 11

why do you get a cough in ACEi

Answer 11

cough due to the reduction in breakdown of bradykinins

Question 12

how does angioedema look

Answer 12

swollen face

Question 13

monitoring for ACEi

Answer 13

Check Us and Es and blood pressure

Question 14

statins MOA

Answer 14

inhibit HMG-CoA reductase reducing cholesterol and also increase LDL receptors in the liver

Question 15

statins adverse effects

Answer 15

myositis and liver disease

Question 16

what test can you do if people complain about muscle aches and pains

Answer 16

creatinine kinase

Question 17

contraindications of statins

Answer 17

CYP450 inhibitors

clarithromycin

Question 18

CYP450 inhibitors and statins

Answer 18

accumulation of statin = higher risk of myopathy and possibly rhabdomyopathy