FAMILY 3 HTN STUDY SESSION WITH COMPLETE
SOLUTIONS-UTA
1 of 89
Term
A 9-year-old child with hypertension also has diabetes mellitus.
According to the pediatric HTN lecture, what is the blood pressure
treatment goal?
A. <90th percentile
B. <95th percentile
C. <50th percentile OR <120/80 mmHg (whichever is lower)
D. <130/80 mmHg only
Give this one a try later!
correct answer is B. Renal Artery Stenosis
Rationale
A patient with:
Resistant hypertension
Abdominal bruit
,should immediately make you think of renal artery stenosis (renovascular
hypertension).
The abdominal bruit is a classic board clue caused by turbulent blood flow through
a narrowed renal artery. Reduced renal perfusion activates the RAAS system,
causing persistent hypertension
Correct Answer: C. <50th Percentile OR <120/80 mmHg (Whichever is Lower)
This is one of the most difficult pediatric hypertension questions because it
tests a special treatment goal.
For most children:
* Goal BP = <90th percentile for age, sex, and height.
However, for children with comorbid conditions such as CKD or diabetes:
✅ Goal BP = <50th percentile OR <120/80 mmHg (whichever is lower).
Correct Answer: B. Child sitting quietly for at least 5 minutes, feet flat on the floor,
arm supported at heart level
Accurate pediatric BP measurement requires proper positioning.
According to the pediatric HTN lecture:
The child should:
* Be calm and free of anxiety
* Sit quietly for at least 5 minutes
* Have back supported
* Have both feet flat on the floor
* Have the right arm supported at heart level
Correct Answer: C. Lifestyle Modification
The pediatric hypertension lecture emphasizes:
Lifestyle modification is first-line therapy for pediatric hypertension.
For an obese 10-year-old with HTN, initial treatment includes:
* Weight management
* DASH diet
, * Increased physical activity
* Reduced sodium intake
* Limiting screen time
* Avoiding tobacco exposure
Don't know?
2 of 89
Term
A 15-year-old athlete is diagnosed with Stage 2 hypertension.
According to the pediatric HTN lecture, which recommendation is
most appropriate until BP is controlled?
A. Full participation in all sports without restriction
B. Restrict from high-static sports such as wrestling and weightlifting
C. Permanent exclusion from competitive sports
D. Restrict aerobic exercise only
Give this one a try later!
Correct Answer: B. Restrict from High-Static Sports Such as Wrestling and
Weightlifting
Stage 2 HTN: Restrict from high-static sports (e.g., weightlifting, wrestling) until
BP is controlled.
High-static sports can cause significant acute increases in blood pressure and
increase cardiovascular risk in athletes with uncontrolled Stage 2 HTN.
, Correct Answer: C. Stage 2 Hypertension
According to the 2017 ACC/AHA Guidelines:
Normal: <120/<80 mmHg
Elevated: 120–129 and <80 mmHg
Stage 1 HTN: 130–139 or 80–89 mmHg
Stage 2 HTN: ≥140 or ≥90 mmHg
Both readings meet the criteria for Stage 2 Hypertension because the systolic BP is
≥140 and the diastolic BP is ≥90 on two separate visits.
Correct Answer: C. Severe hypertension with signs of renal disease
The pediatric HTN lecture emphasizes that secondary HTN is more likely when
there is:
* Age <6 years
* Severe hypertension
* Abrupt onset
* Poor response to treatment
* Signs/symptoms of renal, endocrine, or cardiac disease
Correct Answer: C. Stage 2 Hypertension, Symptoms, or Evidence of Target-Organ
Damage
The pediatric HTN summary slide specifically states:
Echocardiogram (ECHO) is indicated if Stage 2 HTN, symptoms, or evidence of
target-organ damage is present.
An ECHO is used to evaluate for:
* Left ventricular hypertrophy (LVH)
* Cardiac target-organ damage
* Structural heart abnormalities
Don't know?
3 of 89
SOLUTIONS-UTA
1 of 89
Term
A 9-year-old child with hypertension also has diabetes mellitus.
According to the pediatric HTN lecture, what is the blood pressure
treatment goal?
A. <90th percentile
B. <95th percentile
C. <50th percentile OR <120/80 mmHg (whichever is lower)
D. <130/80 mmHg only
Give this one a try later!
correct answer is B. Renal Artery Stenosis
Rationale
A patient with:
Resistant hypertension
Abdominal bruit
,should immediately make you think of renal artery stenosis (renovascular
hypertension).
The abdominal bruit is a classic board clue caused by turbulent blood flow through
a narrowed renal artery. Reduced renal perfusion activates the RAAS system,
causing persistent hypertension
Correct Answer: C. <50th Percentile OR <120/80 mmHg (Whichever is Lower)
This is one of the most difficult pediatric hypertension questions because it
tests a special treatment goal.
For most children:
* Goal BP = <90th percentile for age, sex, and height.
However, for children with comorbid conditions such as CKD or diabetes:
✅ Goal BP = <50th percentile OR <120/80 mmHg (whichever is lower).
Correct Answer: B. Child sitting quietly for at least 5 minutes, feet flat on the floor,
arm supported at heart level
Accurate pediatric BP measurement requires proper positioning.
According to the pediatric HTN lecture:
The child should:
* Be calm and free of anxiety
* Sit quietly for at least 5 minutes
* Have back supported
* Have both feet flat on the floor
* Have the right arm supported at heart level
Correct Answer: C. Lifestyle Modification
The pediatric hypertension lecture emphasizes:
Lifestyle modification is first-line therapy for pediatric hypertension.
For an obese 10-year-old with HTN, initial treatment includes:
* Weight management
* DASH diet
, * Increased physical activity
* Reduced sodium intake
* Limiting screen time
* Avoiding tobacco exposure
Don't know?
2 of 89
Term
A 15-year-old athlete is diagnosed with Stage 2 hypertension.
According to the pediatric HTN lecture, which recommendation is
most appropriate until BP is controlled?
A. Full participation in all sports without restriction
B. Restrict from high-static sports such as wrestling and weightlifting
C. Permanent exclusion from competitive sports
D. Restrict aerobic exercise only
Give this one a try later!
Correct Answer: B. Restrict from High-Static Sports Such as Wrestling and
Weightlifting
Stage 2 HTN: Restrict from high-static sports (e.g., weightlifting, wrestling) until
BP is controlled.
High-static sports can cause significant acute increases in blood pressure and
increase cardiovascular risk in athletes with uncontrolled Stage 2 HTN.
, Correct Answer: C. Stage 2 Hypertension
According to the 2017 ACC/AHA Guidelines:
Normal: <120/<80 mmHg
Elevated: 120–129 and <80 mmHg
Stage 1 HTN: 130–139 or 80–89 mmHg
Stage 2 HTN: ≥140 or ≥90 mmHg
Both readings meet the criteria for Stage 2 Hypertension because the systolic BP is
≥140 and the diastolic BP is ≥90 on two separate visits.
Correct Answer: C. Severe hypertension with signs of renal disease
The pediatric HTN lecture emphasizes that secondary HTN is more likely when
there is:
* Age <6 years
* Severe hypertension
* Abrupt onset
* Poor response to treatment
* Signs/symptoms of renal, endocrine, or cardiac disease
Correct Answer: C. Stage 2 Hypertension, Symptoms, or Evidence of Target-Organ
Damage
The pediatric HTN summary slide specifically states:
Echocardiogram (ECHO) is indicated if Stage 2 HTN, symptoms, or evidence of
target-organ damage is present.
An ECHO is used to evaluate for:
* Left ventricular hypertrophy (LVH)
* Cardiac target-organ damage
* Structural heart abnormalities
Don't know?
3 of 89
