HTA

Question 1

cazuti de masurare eronata

Answer 1

HTA de halat alba

HTA mascata

Question 2

diferenta mai mare de 10 mmHg intre brate

Answer 2

• disectei de aorta

- stenoza artera subclavie

Question 3

formula presiune arteriala

Answer 3

PA=FC x VB x RVP

Question 4

manifestari clinice

Answer 4

• acufene - tinitus
• fosfene - stelute in campvizual
• epistaxis
• cefalee, ameteli
• manif nerulogice - fotofobie, redoare de ceafa, varsaturi

Question 5

HTA esentiala facies

Answer 5

facies pletoric

Question 6

HTA renala facies

Answer 6

alb teros

plid

Question 7

deplasare soc apexian dupa decompensare

Answer 7

in jos si la stanga

Question 8

sufluri sistolice cu caracter functional

Answer 8

• hiperdinamism

Question 9

valvulopatiile aparute pot

Answer 9

scadea tensiunea in mb inferiaore
=> indice glezna brat mic

daca e sub 0,9 => boala arteriala periferica

Question 10

afectare cerebrala HTA

Answer 10

• AVC

- microinfarcte, microhemoragii => declincognitiv si dementa vasculara precoce

Question 11

afectare oculara

Answer 11

• hemoragii
• exudat - cotton wool
• edem papilar

Question 12

cum e hipertrofia de VS

Answer 12

concentrica

Question 13

afectare renala

Answer 13

• albuminurie
• retentie azotata

=nefriangioscelroza

Question 14

facies luna plina
obezitate facio-tronculara
vergeturi rosiatice
hirsutism

Answer 14

Cushing (hiperaldosteronism?)

Question 15

sufluri toracice si abdominare

Answer 15

insuficienta aortica si renala

Question 16

diferenta tensiune-puls mb sup-inf

Answer 16

coarctatia de aorta

Question 17

gusa

exoftalmie bilaterala

Answer 17

basedow graves

Question 18

paloare instalata brusc
transpiratii reci
tahicardie
durere toracica cinstrictiva

Answer 18

feocromocitom

Question 19

sindrom Liddle

sindrom Gordon

Answer 19

retentie primara de Na

Question 20

HTA sistolica izolata

Answer 20

tireotoxicoza
boala Paget
regurgitare aortica
fistula arterio venoasa
persistenta duct arterial 
rigiditate aortica
beri beri

Question 21

HTA renovasculara

Answer 21

• ATS sau displazie fibromusculara
• crriterii
• agravare renala dupa medicamente anti RAA
• sufluri sistolo-diastolice pe flancuri (stenoza de artera renala)

Question 22

HTA renoparenchimatoasa

Answer 22

=glomerulonefrite - ssitolica, benigna
=HTA pielonefrita cronica - sistolo-diastolica, potential align
-hiperreniemie
-leucociutie
-densitate urinara scazuta
-reentie azotata
-rinichi mici , inegali- pielocaliceali dezorganizati
=glomerulonefrita cronica - sistolo-diaastolica, maligna
-sindrom nefrotic
-rinichi mici egali
-retentei azotata
-anemie (hematurie)

Question 23

hiperaldosteronism primar

Answer 23

-adenom suprarenalian sau hiperplazie de glanda suprarenala

• hiporeniniemie
• hipoptasemie
• tulburari de ritm
• ileus dinamic
• oboseala musculara

Question 24

HTA feocromocitom

Answer 24

=complicatii

• edem pulmonar
• hemoragie cerebrala
• encefalopatie hipertensiva
• miocardita catecolaminergica

Question 25

HTA Cushing

Answer 25

- exces de cortizol care stimuleaza secretia de mineralocorticoizi si renina - scaderea tolerantei la carbohidrati

Question 26

HTA sindrom de apnee in somn

Answer 26

-se activeaza simpaticul din cauza hipoxemiei

Question 27

HTA din sarcina

Answer 27

=preeclampsia - HTA - proteinurie =eclampsie -proteinurie >3g/dl

Question 28

HTA maligna

Answer 28

180/120 -comlicatii cerebrale, renale, retiniene, cardice

Question 29

urgente hipertensive (diferite de crize hipertensive unde nu exista afectare de organ)

Answer 29

``` =encefalopatia hipertensiva -tulburari de vedere, varsaturi, convulsii prinedem cerebral -hemoragii, exudate, edem papilar =edem pulmonar acut -IVS -dispnee paroxistica cu ortopnee -raluri subcrepitante urca de la baza spre vf -tahicardie -galop =sdr coronarian acut =disectia de aorta ```

Question 30

HTA din sindromul coronarian acut

Answer 30

adrenergic