Hypertension

Question 1

Primary hypertension can cause

Answer 1

Mi, aneurism and stroke

Question 2

Which HNT affects younger patients

Answer 2

SECONDARY

Question 3

genetic disorders that cause hypertension

Answer 3

AD . Autosomal Dominant polycystic disease
Associated with Berry aneurysms in the circle of Willis

Question 4

Endocrine Hypertension characteristic

Answer 4

PHEOCHROMOCYTOMA

PALPITATIOS + PERSPIRATION + PAIN HEAD, PAIN CHEST+ ANXIETY + FLUSHING+ PALPATION ABDOMEN PRECIPITATES CRISIS
+ EPISODIC HYPERTENSION

Question 5

Scan done for Endocrine Hypertension

Answer 5

MIBG SCAN

Question 6

Acromegaly signs

Answer 6

INCREASING HAT SIZE, RING SIZE, SHOE SIZE, JAW
SIZE, INTENSE SWEATING + JOINT ABNORMALITIES (ABNORMAL CARTILAGE GROWTH) + AMENORRHEA ( PROLACTIN INCREASE) +
CARDIOMEGALY+ HYPERTENSION + COLONIC POLYPS

Question 7

Acromegaly tests

Answer 7

IGF : INSULIN LIKE GROWTH FACTOR (LONGER HALF
LIFE) GROWTH HORMONE

SUPPRESSION OF GH BY GIVING GLUCOSE EXCLUDES
ACROMEGALY …test

Question 8

Ecg finding of hnt

Answer 8

Atrial fibrilation

Question 9

Complications of LVH and there signs (3 points )

Answer 9

• LV Failure (Breathlessness)
• LV Thickening (Angina – Chest discomfort)
• LV Irritable (Palpitations – Arrhythmia)
(Irregular – A Fib; Sudden death – V Tac V Fib)

Question 10

Hypertensive crisis

Answer 10

SBP > 180 mmHg, DBP >120mmHg

Question 11

Hypertension effect on heart

Answer 11

LVH Left Ventricular Hypertrophy

Question 12

Drug choice <55 age and > 55 age

Answer 12

Ace inhibitors , ca chanel blockers