247 Hypertension

Question 0

Systolic hypertension with wide pulse pressure

Answer 0

FATH Arterial Pulse
Fever
AOrtic regurgitation
thyrotoxicosis
Hyperkinetic heart ayndrome

AV fistula
pDA

Question 1

MC cause of death in hypertensive Pts

Answer 1

MI

Heart disease

Question 2

Criteria HTN

Answer 2

Average of 2 or more seated BP readings during each or more of 2 outpatient visits

Question 3

Night time BP in comparison to daytime BP

Answer 3

10-20% lower

Question 4

Likelihood of hypertension among individuals greater than 60

Answer 4

65.4%

Question 5

reduces risk of progressive heart failure and sudden cardiac death by 30%

Answer 5

Low dose spirinolactone

Question 6

Measures arterial stiffness

Answer 6

Utz

Mri

Question 7

Sec most freq cause of death in the world

Answer 7

Stroke

Question 8

The strongest risk factor for stroke

Answer 8

Elevated BP

Question 9

Map normal where CBg unachanged

Answer 9

50-150 mmHg

Question 10

MC etiology of secondary hypertension

Answer 10

Primary renal dosease

Question 11

Mech of kidney related ht

Answer 11

Diminaihed capacity to excrete Na
Excessive renib secretion
Sympathetic Ns overactivoty

Question 12

Highbprotein excretion CKD

Answer 12

> 3g/day

Question 13

Macroalbuminuria

Answer 13

Urine alv /crea ratio >300 mg/g

Question 14

Microalbuminuria

Answer 14

30-300 mg/g

Question 15

Classic sumptom of pad

Answer 15

Inermittent claudication

Question 16

Ankle brachial ratio diagnostic of PaD

Answer 16

50% stenosis in at least one major lower limb vessel

Question 17

CV risk increase for every 20 mmHg inc in syatolic and 10 mmHg inc in diastolic

Answer 17

Double CV risk

Question 18

Predominant cathecolamine secreted by pheochromocytoma

Answer 18

Epinephrine

And may present with hypotension

Question 19

Inherited pheochromocytomas

Answer 19

Von hippel lindau
Men2a
Men2b
Neurofibromatosis

Question 20

Gene mutations associated with paaganglioma syndromes

Answer 20

Succinate dehydrogenase enzyme genes

Question 21

Hypokalemia
Low renin
Low aldosterone

ENaC mutations

Answer 21

Liddle’s syndrome

Question 22

High renin patient

Answer 22

Vasoconstrictor form of hypertension

Question 23

Low renin (25% of HtN)

Answer 23

Volume dependent hypertension

Question 24

Younger px more responsive

Answer 24

Beta blockers | aCEIs

Question 25

Px over age 50 more respnaive to

Answer 25

Diuretics | Calcium antagonist

Question 26

Direct renin inhibitor

Answer 26

Aliskerin

Question 27

selective aldosterone antagonist

Answer 27

Eplerenone

Question 28

Anti HTNs block V receptors and pwrioheral alpha adrenergic receptors

Answer 28

Carvedilol | Labetalol

Question 29

Moa CCBs

Answer 29

Reduce vascular resitance through L channel blockade | Reduces intracellular calcium blunts vasocontriction

Question 30

Accomplish trial

Answer 30

ACEi plus CCB (amlodipine) is superior to treatment with ACEI plus diuretic in reducing the risk of CV events and drath

Question 31

After Stroke Treatment

Answer 31

Acei and diuretic

Question 32

Pseudohypertension= sclerotic arteries how to Dx?

Answer 32

Osler maneuver | Occlude brachial artery by cuff

Question 33

ANgiotensin receptor blocker moas

Answer 33

Selective blockade of AT1 receptors

Question 34

Rx low renin HTN

Answer 34

Diuretics | Calcium agonists