IRAT 5 HTN

Question 1

___% of people with high BP are unaware

Answer 1

30%

Question 2

CVD costs _____ in healthcare

Answer 2

320 billion

Question 3

___% of white people and ___% of black people

Answer 3

18%

35%

Question 4

out of 507 children __% had HTN

Answer 4

3.6% (but only 26% of those had it in their medical records)

Question 5

11% of prehypertensive children had it

Answer 5

in their records

Question 6

__% of HTN is secondary

Answer 6

5%

Question 7

Estrogen/oral contraceptives cause __% of secondary HTN

Answer 7

5-6%

Question 8

Renal disease is the cause of __% secondary HTN

Answer 8

1-2%

Question 9

cuschings/primary aldosteronism

Answer 9

0.5% secondary HTN

Question 10

coarction of aorta

Answer 10

.01-.5 aorta

Question 11

Causes of secondary HTN

Answer 11

Estrogen/contraceptives
renal disease
aldosteronism/cushings
coarction of aorta
pheochromocytoma
pregnancy
disorders associated with hyperclampsia and thyroid shit
sleep apnea

Question 12

Juxtaglomerular cells secrete

Answer 12

renin

Question 13

renin does what?

Answer 13

converts angiotensinogen to angiotensin 1

Question 14

angiotensin does what?

Answer 14

causes angiotensin II (major vasoconstrictor)

Question 15

angiotensin II does what

Answer 15

stimulates aldosterone secretion

Question 16

how does alchohol cause an increase in BP

Answer 16

increases catecholamines

Question 17

causes of essential HTN

Answer 17

SNS hyper activity (decreases sensitivity to baro reflexes)

Renin-angiotensin-Aldosteron system dysfunction (RAAS)

Intracellular increase NA

Question 18

prior to checking BP one must

Answer 18

not smoke/caffience 30-60 minutes prior

no drinkings 12 hours prior

Question 19

if positive for HBP check again

Answer 19

2 more times in the same week

Question 20

Prehypertensive - lifestyle modifications

Answer 20

8-89 diastolic

120-139 systolic

Question 21

Stage 1 refer if lifesytle isn’t effective (usually treatable with 1 medication)

Answer 21

90-99 diastolic

140-159 systolic

Question 22

Stage 2 need medical evaluation w/ appropriate medication

Answer 22

D >100

S >160

Question 23

severe=immediate referral

Answer 23

S>200

D>120

Question 24

too much pressure on a stethoscope can increase diastolic pressure by ___ mmhm

Answer 24

10

Question 25

bell verse diaphragm for bp?

Answer 25

no difference according to research

Question 26

time between readings on same arm

Answer 26

2-3 minutes

Question 27

white coat syndrome?

Answer 27

try and do ambulatory readings (usually reads 10-20% lower)

Question 28

Normal BP at 55 y/o still has a __% chance of being hypertensive in lifetime

Answer 28

90%

Question 29

management for 60+ year olds

Answer 29

<150/90

Question 30

what is the standard threshold for most groups

Answer 30

<140/90

Question 31

CHD 4 factors

Answer 31

Cig smoking
HTN
diabetes
hyperlipidemia

Question 32

less active people have a 30-50% higher chance of

Answer 32

High BP

Question 33

what is equal to being prescribed 1 medication?

Answer 33

dash diet

Question 34

amount of K recommended to help with BP

Answer 34

4.7 grams (2x US average)

Question 35

__% of individuals need half the meds after supplementing with K

Answer 35

82%

Question 36

__% need no medication after a 1 year follow up of K supplementation

Answer 36

38%