Systemic hypertension II

Question 1

renal atherosclerotic disease causes what type of HTN?

Answer 1

secondary HTN

Question 2

is SAH mostly symptomatic or asymptomatic?

Answer 2

asymptomatic

Question 3

what is the most common form of target organ damage from systemic HTN?

Answer 3

ischemic heart disease

Question 4

what test should never be omitted during a PE for systemic HTN?

Answer 4

fundoscopic exam

Question 5

unprovoked hypokalemia is a sign of what?

Answer 5

secondary HTN

Question 6

when is echocardiography indicated?

Answer 6

1. diastolic BP 90-94 and no other CV risk factors or target organ damage
2. severe or refractory SAH
3. BBB

Question 7

JNC 8 generally recommends achieving a sBP less than what value?

Answer 7

140 mm Hg

Question 8

BP goals are based on what parameter?

Answer 8

potential to reduce target organ damage

Question 9

the SPRINT study suggests target sBP less than what value in high risk patients without DM?

Answer 9

120 mm Hg

Question 10

according to the 2014 evidence based guideline for management of high BP in adults, what is the drug of choice for systemic HTN?

Answer 10

thiazide diuretics

Question 11

what are the therapy initiation and end goal recommendations for the general population OVER 60 yo for systemic HTN?

Answer 11

start: sBP over 150, dBP over 90
goal: BP below 150/90

Question 12

what are the therapy initiation and end goal recommendations for the general population UNDER 60 yo for systemic HTN?

Answer 12

start: sBP over 140, dBP over 90
goal: BP below below 140/90

Question 13

what are the therapy initiation and end goal recommendations for the general population over 18 yo with chronic kidney disease for systemic HTN?

Answer 13

start: sBP over 140
goal: BP below 140/90

Question 14

what are the therapy initiation and end goal recommendations for the general population over 18 yo with diabetes for systemic HTN?

Answer 14

start: sBP over 140
goal: less than 140/90

Question 15

in general nonblack population, including diabetics, initial drug therapy should include which drugs?

Answer 15

thiazide (drug of choice)

OR calcium channel blocker / ACEi / ARB

Question 16

in general black population, including diabetics, initial drug therapy should include which drugs?

Answer 16

thiazide OR CCB