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Create an image of a medical professional examining a patient with heart-related symptoms, featuring medical charts, stethoscope, and medication bottles in a clinical setting.

Hypertension and Heart Conditions Quiz

Test your knowledge on essential hypertension, heart failure, and related medications with our comprehensive quiz designed for medical professionals and students. This quiz features 17 challenging questions that cover various clinical scenarios and pharmacological principles.

Key Features:

Multiple choice questions
Focus on pharmacology and clinical presentation
Ideal for both learning and self-assessment

17 Questions4 MinutesCreated by AnalyzingHeart42

A 48-year-old woman has been diagnosed with essential hypertension and was commenced on treatment three months ago. She presents to you with a dry cough which has not been getting better despite taking cough linctus and antibiotics. You assess the patient's medication history. Which of the following antihypertensive medications is responsible for the patient's symptoms?

A 71-year-old man is being treated for congestive heart failure with a combination of drugs. He complains of nausea and anorexia, and has been puzzled by observing yellow rings around lights. His pulse rate is 53/minute and irregular and blood pressure is 128/61 mmHg. Which of the following medications is likely to be responsible for these symptoms?

You see a 67-year-old man who has presented with a four-month history of progressive shortness of breath, initially on exertion but now also at rest. Associated symptoms include a dry cough. His past medical history includes atrial fibrillation, hypertension and hypercholesterolaemia. On examination, oxygen saturations are 92 per cent on room air, respiratory rate is 19 and the patient is apyrexial. On auscultation of the chest you hear bibasal fine inspiratory crackles. You review the patient's medication history. Which of the following drugs from the patient's list is most likely to cause the symptoms experienced by the patient?

A 58-year-old man is admitted with a mild exacerbation of asthma. He suffers with hypertension which is controlled with medication. He was given 5 mg salbutamol and 500 μg ipratropium nebulizers, on route to hospital, by paramedics and has received 'back to back' salbutamol 5 mg nebulizers since admission to accident and emergency. The patient was then sent to the acute medical unit where he was given regular nebulizers along with his regular antihypertension medication. Before he was discharged, his serum potassium reading was 2.9. Select, from the list below, the drug which is most likely to have caused the hypokalaemia?

You see a 47-year-old woman who presents with a 3-day history of jaundice. You assess her liver function tests (LFTs) and see that the ALP iu/L is raised at 350 iu/L, AST 45 iu/L, ALT 50 iu/L and bilirubin 50 iu/L. The patient feels well in herself, although she has noticed that her urine has become quite dark and her stools quite pale. You assess her medication history. Which of the following drugs from the patient's medication history may be responsible for the cholestasis?

A 46-year-old woman presents to your clinic with a week's history of jaundice. Her past medical history includes longstanding atrial fibrillation and hypertension. Physical examination reveals hepatomegaly. You assess her liver function which shows a bilirubin of 41 iu/L, AST 111 iu/L, ALT 55 iu/L and ALP 98 iu/L. There is no history of travel. You have a look at the patient's medication history. Which of the following drugs below is likely to have caused the derangement in the patient's liver function?

A 67-year-old woman presents to you with extensive scalp hair loss which has been getting progressively worse over the last year. You also notice thinning of the eyebrows. The patient's past medical history includes hypertension, left-sided pulmonary embolism one year ago and hypercholesterolaemia. You assess the patient's medication list. Which one of the following drugs could be responsible for causing generalized alopecia?

A patient who has been inadvertently given an intravenous injection of potassium chloride, develops ventricular tachycardia. His pulse is 150 beats per minute and blood pressure 60/40 mmHg. What would be the best line of treatment in this case?

A 53-year-old patient who has had chemotherapy for metastatic breast cancer 6 months earlier comes to the clinic complaining of shortness of breath on exertion. Her BP is 125/78 mmHg, her pulse is 94/min and her apex beat is displaced to the anterior axillary line. Investigations: Hb 11.9 g/dl, WCC 5.0 x109/l, PLT 190 x109/l, Na+ 140 mmol/1, K+ 4.5 mmol/1, Creatinine 160 μmol/1. CXR - Cardiomegaly, increased shadowing consistent with mild pulmonary oedema at both bases. Which chemotherapeutic agent is most likely to be responsible for this patient's symptoms?

You are asked to review an electrocardiogram (ECG) in the emergency department. Helpfully, a summary of details is printed at the top as follows: rate 88/min, regular rhythm, axis -20° , PR duration 0.26 seconds (constant), QRS complex 0.08 seconds, QT interval 0.2 seconds. You note that P-waves are only present before each QRS and that the rhythm is regular. Which of the following would be the best summary?

First-degree heart block

Left axis deviation

Left bundle branch block

Refuse to summarise until it can be compared with an old ECG

Ventricular tachycardia

A 75-year-old man has been recently diagnosed with Parkinson's disease and started on levodopa (L-DOPA), which has helped his tremor and bradykinesia significantly. However, in the past week he had a fall shortly after getting out of his chair, during which he briefly blacked out, and afterwards was sweating and felt cold. Which of the following side effects most likely explains the fall?

A 78-year-old lady is admitted from home by ambulance. She was found lying on the floor by her home help after suffering a fall. She has a history of hypertension managed with ramipril 10mg PO daily. On examination her temperature is 30.0oC, her BP is 100/50 mmHg, with a pulse of 52/min. She has a fractured left neck of femur. Bloods; Hb 14.5 g/dl, WCC 4.5 x109/l, PLT 192 x109/l, Na+ 143 mmol/1, K+ 5.3 mmol/1, Creatinine 195 μmol/1. Which of the following ECG features is most characteristic of moderate to severe hypothermia?

A 33-year-old woman with multiple sclerosis (MS) is having problems with painful spasms and disabling spasticity in her left leg. Which of the following medications is most likely to help?

You are told that a patient in clinic has been diagnosed with cystic fibrosis using the sodium chloride sweat test. Which of the following results from the latter test would indicate a positive diagnosis of cystic fibrosis?

A 78-year-old woman is admitted to your ward following a 3-day history of shortness of breath and a productive cough of white frothy sputum. On auscultation of the lungs, you hear bilateral basal coarse inspiratory crackles. You suspect that the patient is in congestive cardiac failure. You request a chest x-ray. Which of the following signs is not typically seen on chest x-ray in patients with congestive cardiac failure?

A 35-year-old homeless man presents to the emergency department in a state of unconsciousness. He was fitting when the ambulance crew got to him 20 minutes ago, and a friend at the scene estimated that he had started fitting ''around 15 minutes before''. His friend informed the ambulance crew that he is a known epileptic and you find a pack of phenytoin on him. He looks dishevelled and smells of alcohol. He has a blood pressure of 170/95 mm.Hg and temperature 37.9°C. On examination there is a quiet systolic murmur, though it is difficult to fully characterise. Which of the following investigations will be most useful at this stage?

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Hypertension and Heart Conditions Quiz

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