T1 - HTN/HLD

Question 1

Stage I HTN 130-139/80-89

Question 2

Stage II HTN =

Answer 2

> = 140/90

Question 3

Meds that can elevate BP

Answer 3

oral contraception, NSAIDS, Antideptressants, decongestants, antiretrovirals, sudden dc of something like clozapine (alpha2-adrenergic agonist)

Question 4

Pt with HTN gets an ECG every _____

Answer 4

Year

Question 5

Perform what prior to initiating combination anti hypertensive therapy

Answer 5

Orthostatic vital signs.

Question 6

Non-orthostatic patients with BP 160/100 - initiate _____

Answer 6

Two-drug therapy

Question 7

When should you f/u after initiating BP meds

Answer 7

1-4 weeks

Question 8

When prescribing ACE/ARB, monitor ____

Answer 8

Potassium

Question 9

Black patients recommend to initiate _______
Asian patients _______

Answer 9

CCB and/or thiazide
CCB or ARB

Question 10

Best HTN Meds in HF:

Answer 10

ACE or ARB + BB + diuretic + spironolactone.

Question 11

Best HTN med for post MI/clinical CAD

Answer 11

ACE or ARB + BB

Question 12

Best HTN med for Diabetes

Answer 12

ACE or ARB, CCB diuretic

Question 13

Best HTN med for CDK

Answer 13

ACE or ARB

Question 14

First line HTN med in pregnancy

Answer 14

Labetolol
Nifedipine
Methyldopa.

Question 15

Chlorthalidone superior to HCTZ

Question 16

_______ needed with GFR <40

Answer 16

Loop diuretic

Question 17

Review SE acronyms for CCBs, BBs, ACEi and ARBs

Question 18

Med of choice for recurrent stroke prevention

Answer 18

ACEi/diuretic

Question 19

Statins work on HMG co-reductase pathway inhibiting the synthesis of cholesterol

Question 20

VLDL and LDL-C TOGETHER are more indicative of atherosclerosis than either alone

Question 21

Optimal LDL ____
High LDL____
Very high LDL ______
Optimal HDL _____
Low HDL ____
Total cholesterol optimal ____
Total cholesterol high ____

Answer 21

<100
160-189
>190
>60
<40
<200
>240

Question 22

Low ASCVD ___
Borderline ASCVD ____
Intermediate ASCVD ____
High ASCVD ____

Answer 22

<4.9
5-7.4
7.5-20% - start with mod-intensity statin
>20% - start with high intensity statin

Question 23

What USPSTF grade is a 55yo with no hx of CVD, >=1 CVD risk factor and calculated 10y CVD event (ASCVD) 7.5-10%?
>10% risk?

Answer 23

C - after discussing with patient could offer low-mod dose statin
B initiate low-mod intensity statin.

Question 24

Pt >75yo with no hx of CVD - should they use statins?

Answer 24

No. USPSTF says grade I after 75yo

Question 25

Bile acid sequestrants are not recommended for _____

Answer 25

Triglycerides >300

Question 26

Which pharmacotherapy class decreases triglycerides, VLDL and LDL-C and raises HDL?

Answer 26

Fibric Acid derivatives.

Question 27

High intensity lowers LDL-c on average by _____
Mod-Intensity by ___
Low - intensity by _____

Answer 27

50% or more
30-50%
<30%

Question 28

T/F: Atorvastatin is used as a low-intensity statin therapy

Answer 28

False! Atorvastatin is only used for mod-intensity (10mg) and high (40-80mg)

Question 29

Pravastatin is used for ____ and ____intensity statin therapy

Answer 29

Low (10-20mg)
Moderate (40mg)

Question 30

AR - High
SPL - low
ARSPL - moderate

Question 31

New patients to you who you prescribe anti-hyperlipedemics to should f/u in _____

Answer 31

4-6 weeks
Lab f/u in 4 weeks

Question 32

Statins can lower both ____ and _____

Answer 32

LDL and HDL :(