Pales HTN

Question 1

Migraine Headaches (agent of choice)

Answer 1

Beta Blockers , CCB

Question 2

Stroke or TIA ( agent of Choice and Caution)

Answer 2

ACEI - allow CNS autoregualtion to reestablish

Caution =Vasodialators -inc. intracranial pressure

Question 3

BPH (Choice & Caution)

Answer 3

Alpha 1 antagonist

Caution= Selective Beta Blocker (unopposed Alpha agonism)

Question 4

Pheochromocytoma ( Caution & Choice)

Answer 4

Alpha blocker then Beta Blockade

Caution-Selective Beta Blocker (unopposed Alpha agonism)

Question 5

GI Bleed (caution & choice)

Answer 5

Non-seletive Beta Blocker= lowers portal pressure

Caution= Beta Blockers may mask acute Bleeding)

Question 6

Coacaine Use( Caution & ChoicE)

Answer 6

Labetolol, Clonidine

Caution: Selective B-Blockers (unopposed cocaine induced Alpha agonism)

Question 7

Gout (Caution)

Answer 7

Diuretics ( worsen joint pain or precipitate gout)

Question 8

Pregnancy [preeclampsia, eclampsia] (Cautions & Choice)

Answer 8

Methldopa, Hydralzine; B Blockers with caution

Caution, ACEI, ARB–> cause renal agensis
Diuretics.

Question 9

Diabetes (choice)

Answer 9

ACEI ( delay Renal Failure and dec. protinuria)

Question 10

Renal Transplant (Cautions)

Answer 10

ACEI ( may worsen renal fxn)

Question 11

Chronic Renal insufficiency ( choice and Cautions)

Answer 11

ACEI (w/ serum Creatine,<2.5) Loops, CCB

Cautions ACEI, ARBs ( may worsen renal fxn)

Question 12

Bilateral renal Artery Stenosis (cautions)

Answer 12

ACEI, ARBs ( may worsen renal Fxn)