Tx FInal

Question 1

HTN stable ischemic HD

Answer 1

-BB blockers
-ACE/ARBs
-consider CCBs

Question 2

HTN in HF

Answer 2

-HFrEF: BB+MRA+SGLT2
-HFpEF: SGLT2

-AVOID CCBs

Question 3

HTN CKD tx

Answer 3

-stage 1 or 2 +albuminuria or stage 3: ACEi/ARBs

-CCB in post kidney transplant

Question 4

HTN in Cerebrovasc disease

Answer 4

-ACE/ARB
-TZD
-combo

Question 5

HTN diabetes

Answer 5

-firstlines are fine
-ACE/ARBs if albuminuria (>300mg/day)

Question 6

HTN tx pregnancy

Answer 6

-methyldopa
-nifedipine
-labetalol

-AVOID, ACEi/ARBs, renin inhibitor

Question 7

HTN black adults

Answer 7

-TZD or CCB
-unless HF or CKD

Question 8

Resistant HTN

Answer 8

-max ACE/ARB. TZD, CCB
-sub TZD for chlorthalidone
-add MRA
-add BB if HR>70, consider clonidine
-add hydralazine
-sub hydralazine for minoxidil

Question 9

HTN crisis + aortic disection

Answer 9

-BB
-then nicardipine, clevidine, nitroprusside

Question 10

HTN crisis acute HF w PE

Answer 10

-nitroprusside, nitroglycerin
-nicardipine, clevidipine alternatives

Question 11

HTN crisis stroke

Answer 11

-labetolol
-nicardipine
-clevidipine

Question 12

HTN crisis acute coronary syndromes

Answer 12

any

Question 13

HTN crisis AKI

Answer 13

-caution nitroprusside
-AVOID ACE/ARB

Question 14

HTN crisis eclampsia

Answer 14

-labetalol
-nicardipine
-hydralazine

-AVOID ACE/ARB and nitroprusside

Question 15

HTN crisis pheochromocytoma

Answer 15

-BB + nicardipine or clevidipine
-historically phentolamine

Question 16

Hydrophilic statins

Answer 16

-lower risk for muscle toxicity
-prava and rosuvastatin

Question 17

statin therapy for primary prevention

Answer 17

-high: LDL>190
-mod: DM but consider high

Question 18

statin therapy in ASCVD

Answer 18

-high intensity if under 75 or high risk
-weigh benefits if over 75

Question 19

after Statin therapy max

Answer 19

-high or mod per guidelines
-add ezetimibe
-consider PCSK9 inhibitor

Question 20

TG tx

Answer 20

-statin
-fibrate or omega-3

Question 21

short-acting insulin

Answer 21

-aspart
-lispro
-glulisine