Outpatient Medicine Review

Question 1

What is stage 1 HTN

Answer 1

140-159/90

Question 2

What is stage 2 HTN

Answer 2

> 160/100

Question 3

HTN Urgency

Answer 3

> 220/120

Question 4

HTN emergency

Answer 4

> 220/120 +end organ damage

Question 5

Pre-HTN

Answer 5

120-139/80-89

Question 6

Most common causes of secondary HTN

Answer 6

REnovascular disease, then OCPs in young women, stimulants, endocrine dz

Question 7

Pregnant with HTN tx

Answer 7

Ca-blocker

Question 8

What to do if refractory HTN, FIRST STEP

Answer 8

Make sure they are compliant!

Question 9

BP goal in CKD and DM

Answer 9

<130/80

Question 10

If high risk LDL is

Answer 10

> 130

Question 11

Med risk LDL

Answer 11

> 160

Question 12

Low risk LDL

Answer 12

> 190

Question 13

TG>500 tx

Answer 13

niacin

Question 14

Secondary causes of HLD

Answer 14

TSH, LFTs, renal, fasting glucose

Question 15

LDL goal for CHD or DM

Answer 15

<100

Question 16

Statins effect

Answer 16

Great LDL, okay HDL, okay TG

Question 17

Niacin

Answer 17

Okay LDL, good HDL and TG (watch out for Hyperglycemia and hyperuricemia (check CK, LFTs)

Question 18

Bile acid resins (colestipol, cholestyramine)

Answer 18

Good LDL, okay hdl. RAISES TG. Causes GI distress, poorly tolerated

Question 19

Fibrates (gemfibrozil)

Answer 19

Okay LDL, okay HDL, great TG

Question 20

Fibrates SEs

Answer 20

hepatotoxicity, rhabdo, chol. gallstones (check CK, LFTs)

Question 21

2nd HA causes

Answer 21

VOMIT- vascular, other, meds (nitrates, alcohol withdrawal, analgesic withdrawal), infection, tumor

Question 22

Severe HA w/ HTN plan

Answer 22

Get noncontrast head CT to r/o ICH, then get LP