HTN Compelling Indication

Question 1

Pregnancy use

Answer 1

1. methyldopa
2. labetalol
3. hydrazine
4. nifedipine

Question 2

Pregnancy avoid

Answer 2

all others (not listed in use)

Question 3

Lithium therapy use

Answer 3

1. DHP-CCB
2. BB
3. Clonidine

Question 4

Lithium therapy avoid

Answer 4

ACEi/ARB

diuretics

Question 5

Post MI use

Answer 5

1. BB
2. ACEI/ARB
3. Thiazide
4. DHP-CCB

Question 6

Post MI avoid

Answer 6

direct vasodilators

a1 blocker

Question 7

CAD use

Answer 7

1. BB
2. DHP-CCB (for angina)
3. ACEI/ARB
4. thiazide

Question 8

CAD avoid

Answer 8

Direct vasodilators

a1 blocker

Question 9

Systolic HF use

Answer 9

1. ACEI/ARB
2. BB
3. thiazide/loop
4. aldosterone antagonist

Question 10

Systolic HF avoid

Answer 10

DHP/NDHP CCB

Question 11

CKD CrCl <30 use

Answer 11

1. ACEI/ARB (caution)
2. loop BID (torsemide QD)
3. DHP-CCB
4. BB

Question 12

CKD CrCl <30 avoid

Answer 12

atenolol
bisoprolol
nadolol
nebivolol

Question 13

Recurrent stroke prevention use

Answer 13

1. ACEI + thiazide or ARB
2. thiazide
3. DHB-CCB
4. BB

Question 14

Diabetes use

Answer 14

1. ACEI/ARB
2. CCB
3. thiazide
4. BB

Question 15

African american use

Answer 15

1. thiazide
2. DHP/NDHP CCB
3. ACEI/ARB
4. BB

Question 16

PAD use

Answer 16

1. ACEI/ARB
2. DHP CCB
3. thiazide
4. BB

Question 17

Gout use

Answer 17

1. ACEI/ARB
2. DHP-CCB
3. BB
4. Aldosterone antagonist

Question 18

Gout avoid

Answer 18

thiazides and loops

Question 19

COPD/asthma use

Answer 19

1. thiazide
2. ACEI/ARB
3. DHP-CCB
4. B1 selective BB

Question 20

COPD/asthma avoid

Answer 20

BB severe asthma

Question 21

BPH use

Answer 21

1. a1 blocker
2. ACEI/ARB
3. DHP-CCB
4. BB

Question 22

BPH avoid

Answer 22

diuretic

Question 23

metabolic syndrome use

Answer 23

1. ACEI/ARB
2. thiazide
3. DHP-CCB
4. BB

Question 24

Elderly use

Answer 24

1. thiazide
2. ACEI/ARB
3. DHP/NDHP CCB
4. BB

Question 25

elderly avoid

Answer 25

Central a2 agonists | peripheral a1 blocker

Question 26

ED use

Answer 26

1. ACEI/ARB 2. DHP-CCB 3. thiazides 4. BB (nebivolol)

Question 27

ED avoid

Answer 27

Central a2 agonist

Question 28

No comorbidities use

Answer 28

1. thiazides 2. ACEI/ARB or CCB 3. ACIE/ARB or CCB 4. BB

Question 29

Put in order of importance: pregnancy, CAD, post MI, lithium therapy, systolic heart failure

Answer 29

1. pregnancy 2. lithium therapy 3. post MI 4. CAD 5. systolic heart failure

Question 30

Put in order of importance: Systolic heart failure, diabetes, CKD CrCl <30, Recurrent stroke prevention, African American

Answer 30

1. Systolic heart failure 2. CKD CrCl <30 3. Recurrent stroke prevention 4. Diabetes 5. African American

Question 31

Put in order of importance: Gout, African American, COPD/asthma, PAD, Diabetes

Answer 31

1. Diabetes 2. African American 3. PAD 4. Gout 5. COPD/asthma

Question 32

Put in order of importance: elderly, ED, BPH, metabolic syndrome, COPD/asthma

Answer 32

1. COPD/asthma 2. BPH 3. metabolic syndrome 4. elderly 5. ED