systemic htn Flashcards

1
Q

what is the single most common reason for visits to the doctor?

A

systemic HTN

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2
Q

normotensive ppl at age 55 have a _____lifetime risk or developing HTN

A

90%

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3
Q

what does JNC 8 base recommendations for BP to begin drugs for?

A
  1. age 2. coexisting diseases (DM, chronic renal disease) 3. race
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4
Q

Narrow or too-loose of cuff does what to BP?

A

overestimates

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5
Q

taking BP with a cuff is considered a direct or indirect method?

A

indirect

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6
Q

what is a direct method of taking bp?

A

intra-arterial cath

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7
Q

when the bp only occasionally exceeds normal

A

borderline HTN

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8
Q

elevated systemic BP WITHOUT KNOWN CAUSE (90% of cases)

A

primary HTN

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9
Q

elevated systemic BP for WHICH A CAUSE CAN BE IDENTIFIED

A

secondary HTN

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10
Q

hypertensive retinopathy grades III and IV and severe BP elevation

A

malignant HTN

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11
Q

what is maligant HTN indicative of?

A

target organ damage

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12
Q

hypertensive retinopathy grade: arteriolar narrowing w/ reddish appearance

A

grade 1

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13
Q

hypertensive retinopathy grade: AV nicking

A

stage 2

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14
Q

hypertensive retinopathy grade: hemorrhage & exudates

A

stage 3

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15
Q

hypertensive retinopathy grade: papilledema

A

stage 4

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16
Q

SAH is the leading cause of ____________disease

A

end stage renal disease

17
Q

what is teh most common form of target end organ damage?

A

ischemic heart disease

18
Q

if pt is hypertensive, not on any drugs, unprovoked hypokalemia

A

secondary HTN

19
Q

JNC 8 recommends keeping the sBP less than ________

A

140

20
Q

what are the drugs of choice for HTN

A

thiazide diuretics

21
Q

____,____,____ are in the recommations for tx of systemic HTN, but _____are NOT

A

CCB, ACEi, ARBs recommended & beta blockers are not

22
Q

what drugs are recommedned for systemic HTN in AF Am

A

thiazide diuretics + CCB

23
Q

most common reason for loss of bp is?

A

(1) noncompliance (2) alcohol