CAR 3Y 2nd M04
Hypertension Management Quiz
Test your knowledge on hypertension management with our comprehensive quiz designed for healthcare professionals and students alike. This quiz includes 40 multiple-choice questions on diagnosis, treatment guidelines, and patient management strategies.
Key Features:
- In-depth questions covering various aspects of hypertension
- Ideal for students, practitioners, and anyone interested in cardiovascular health
- Engaging format to enhance learning and retention
30 year old man complaining of morning headaches,Past medical history: non noticeable,BP: 220/100 mmHg,Auscultation: systolic murmur across the precordium,ECG: LVH,Chest X-ray: cardiomegaly with a rib notching.Which is the most valvular abnormality?
A) Bicuspid Ao valve
B) MR
C) Pulmonary stenosis
D) TR
E) MS
How should an individual with blood pressure recordings of 163/97 mmHg be classified?
High normal
Grade 1 hypertension
Grade 2 hypertension
Grade 3 hypertension
Isolated systolic hypertension
55years old man with diabetes mellitus,BP: 165/95 mmHg. According to the JNC 7 guidelines, he would be classified as what stage of HTN and what is his target BP?
A) Pre HTN, 140/90 mmHg
B) Stage 1, 140/90 mmHg
C) Stage 2, 130/80 mmHg
D) Stage 2, 110/70 mmHg
E) None of these
59year old male with HTN and CKD ,BP: 165/100mmHg,Target not achieved.What is this patient’s target BP according to the new guidelines-JNC 8?
A) 140/90mmHg
B) 130/90mmHg
C) 130/80mmHg
D) 120/80mmHg
E) None of these
44year old female with BP: 110/70mmHg few years ago,BP now: 150/70mmHg confirmed on 1 repeat visit. How much has her risk for CVD increased?
A) No change
B) 2 fold
C) 4 fold
D) 8 fold
E) None of the above
According to the Joint British Society (JBS) Guidelines CVD risk model, every increase of 20/10 mmHg in blood pressure increases your 10-year CVD risk by a factor of:
A) 1.5
B) 2
C) 3
D) 4
E) 5
Which of the following pairs of medical conditions and antihypertensive medication would be incorrect to use in the patient with essential HTN?
A) BB and MI
B) Alpha blocker and prostatic hypertrophy
C) ACEI and DM
D) Thiazide diuretic and gout
E) CCB and COPD
Which of the following lifestyle change has been shown to decrease BP?
A) Weight reduction
B) Daily physical activity
C) Diet rich in potassium and calcium
D) Eat less salt
E) All of the above
50year old man-smoker,Currently diagnosed HTN.Achieving BP target would result in a decreased incidence of which of the following condition?
A) Myocardial infarction
B) Stroke
C) Heart failure
D) Renal failure
E) All of the above
33year old man-smoker complaints of headache, palpitation, sweating,No significant past medical history,BP: 210/100mmHg.Which is the most appropriate next step?
Toxicology screening
Echo Doppler of renal artery
Thoracic TDM
Arteriography of aorta
Urine metanephrine
44year old female with essential HTN,BP: 180/100mmHg after failure of behavior lifestyle change.Which is the most appropriate medication for HTN?
A) ACEI
B) Thiazide + ACEI
C) Thiazide
D) CCB + BB
E) ARB
A 16 year old patient has been referred to you for investigation of a murmur. Auscultation reveals a mid-systolic murmur on the anterior chest. There does not appear to be a radio-femoral delay, but the recorded brachial blood pressure is 143/90 mmHg. There is a family history of premature stroke but no family history of kidney problems.What would the best investigation be?
A) Echocardiogram
B) CT aorta
C) ECG
D) Renal ultrasound
E) Cerebral MRA
56 year old female with essential HTN treated by Perindopril,HBPM: always less than 140/80mmHg,But at clinic BP: 150/95mmHg on repeat visits.What is the next step?
A) Increase dose of ACEI
B) Thiazide + ACEI
C) Do nothing
D) CCB + ACEI
E) Change to CCB
A 55 year old female inpatient has recently been diagnosed with a transient ischemic attack (TIA), which was confirmed by cerebral MRI. Echocardiography and carotid ultrasound are essentially normal. Her blood pressure during admission is 135/85 mmHg. What management do you suggest?
Lifestyle changes
Aspirin
Aspirin and lifestyle changes
Aspirin, lifestyle changes, and antihypertensive medication
A bubble echocardiogram to look for a PFO
59year old male with HTN,ECG and TTE: LVH,Medication: Losartan.Which of the following statement is true?
ARB is less effective than BB
ARB is less effective than ACEi
ARB is as effective as BB
ARB and ACEi are equally effective at reducing LVH
All above is false
33year old female with essential HTN,Want to get pregnant.Which of the following medication is contraindicated for HTA during pregnancy?
ARB
CCB
BB
Methyldopa
All of the above
42year old female with new diagnosed of diabetes and new onset of HTN, Noted for 2 years: weight gain, radial fracture after minor fall and hirsutism,Current Ttt: ACEI + BB. What is the next step in the management of HTN?
Lose weight
Change to CCB + thiazide
24h urine cortisol test
Continue the treatment
All of the above
31year old female with uncontrolled HTN ,BP: 165/100mmHg equal in both arms,Current medication: Thiazide, ACEI, CCB,K: 2.7mEq/l, Na: 143mEq/l. What is the most appropriate diagnostic test?
24h urine cortisol test
Renal echo Doppler
Renin and aldosterone test
Thyroid profile
Lipid profile
52year old male with HTN, DM and MI,BP: 130/85mmHg , Medication: ACEi, BB, CCB, Note the: past few months lower extremity edema and a car accident after falling asleep while driving,TTE: LVEF of 65% and not elevated LVED pressure.Which of the following management would be the most appropriate?
A) Stop CCB
B) Add diuretic
C) Sleep apnea Syndrome study
D) Continue treatment
E) Brain CT scan
54 year old female with HTN and AF treated by Digoxin,Complaints of blurred vision, nausea and diarrhea after starting a new anti-HTN, ECG: complete heart block.Which of the following anti-HTN is responsible for the symptoms?
A) BB
B) CCB (verapamil)
C) ACEI
D) ARB
E) None of these
A 65-year-old hypertensive non-diabetic has an eGFR < 40. Screening tests showed microalbuminuria and a normal renal ultrasound. Which class of antihypertensive medication should you instigate?
A) .ACE inhibitor
B) Beta-blocker
C) Calcium-channel blocker
D) Thiazide diuretic
E) None of these
Which one of the following is the most likely correct in term of systolic blood pressure?
A) Is less predictive of risk than diastolic
B) If raised should only be treated if the diastolic is also elevated
C) Is in the normal range up to 180 mmHg
D) Is commonly raised in the elderly
E) Is not an independent risk factor for stroke
Which one of the following defines the hypertensive emergency?
A) BP > 180/110 mmHg with end-organ damage
B) BP > 180/110 mmHg without end-organ damage
C) BP > 140/90 mmHg with end-organ damage
D) BP > 140/90 mmHg with chronic obstructive pulmonary disease
E) None of these
Regarding hypertensive emergency with cardiovascular end-organ damage, which of the following complication is the most appropriate?
A) Pericarditis
B) Acute pulmonary edema
C) Aortic stenosis
D) Tamponade
E) Mitral stenosis
The primary goal of the treatment in hypertensive emergency is:
A) To give nifedipine sublingual
B) To maintain SBP around 180 mmHg
C) To reduce the mean arterial pressure 20-25% over the first 2h then gradually
D) To reduce the mean arterial pressure 50-70% over the first 2h
E) None of these
Which one of the following antihypertensive medications might you use to try and prevent new- onset atrial fibrillation?
Atenolol
Amlodipine
Bisoprolol
Digoxin
Losartan
62year old man without remarkable medical history, Current smoker , HTN on no treatment, BP 175/105 ,Physical examination is normal.Which of the following statements regarding the treatment of this patient is the most appropriate?
A) Alpha blocker
B) Thiazide diuretic
C) Thiazide diuretic + CCB
D) Stop smoking cigarette no effect on HTN control
E) No lifestyle change
Guidelines for the use of a statin in hypertension include the following, except:
A) Following a stroke
B) Type 2 diabetic diagnosed 11 years previously
C) Primary prevention with a CVD risk of 25%
D) Target levels of LDL < 2 mmol/L and total cholesterol < 4 mmol/L
E) Primary prevention in an 80-year-old
50 year old man with 40 pack years of smoking with 4 beers at night, BP 145/90 with 2 medical visits,He is minimally physically active with BMI: 27,Physical examination: normal.Which of the following statements regarding the treatment of this patient is the most appropriate?
A) No treatment
B) Continue monitoring for 6 months
C) Lifestyle change
D) Pharmacologic therapy
E) Lifestyle change + medication
Which β-blocker is not usually recommended in hypertension?
A) Metoprolol
B) Propanolol
C) Atenolol
D) Sotalol
E) Carvedilol
Only systolic hypertension is found in which of the following condition
A) Hypothyroidism
B) Hyperthyroidism
C) Acromegaly
D) Hyperparathyroidism
E) None of these
Most common clinical presentation of phaeochromocytoma is
A) Paroxysmal hypertension
B) Sustained hypertension
C) Tremor
D) Flushing
E) All of these
In elderly subjects secondary hypertension frequently occurs due to
a) Coarctation of aorta
B) Secondary hyper aldosteronism
C) Secondary renal artery stenosis
D) Primary hyperaldosteronism
E) None of these
Which laboratory finding does not occurs in renovascular hypertension?
A) Increase plasma renin
B) High serum K.
C) Low serum Na
D) Proteinuria
E) All of these
Which is the least common cardiac complication of hypertension?
A) Valvular heart disease
B) LVH
C) Heart failure
D) Arrhythmias
E) All of these
Which life style change may regress LVH in hypertension?
A) Weight reduction
B) Exercise
C) Alcohol reduction
D) Smoking cessation
E) All of these
In practice what level of salt intake is recommended?
A) 2 g/day
B) 3 g/day
C) 4 g/day
D) 6 g/day
E) 8g/day
Which blood pressure is better indication of cardiovascular risk?
Systolic blood pressure
Diastolic blood pressure
Both (a) and (b)
Mean arterial pressure
None of these
Drug of choice for hypertension with benign prostate hypertrophy is
β-blockers
α-blockers
CCB
ACE inhibitors
ARB
Pedal edema is maximum with which CCB?
A) Verapamil
B) Diltiazem
C) Nifedipine
D) All the above
E) None of these
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