HYPERTENSION QUESTIONS ABFM
WITH CORRECT SOLUTIONS
What 3 findings of PE would you expect with an aortic dissection - ANSWER-1.
Difference in carotid pulses
2. Early diastolic decrescendo murmur best heard at left 3rd intercostal space
3. Differences in bp between both arms.
What 2 bp meds should not be used within 24 hours of an ami? - ANSWER-1. Enalaprit
2. Short acting nifedipine
What is the first line agent to treat htn in a patient with cocaine induced agitation? -
ANSWER-1. Benzodiazepine - Ativan
Lifestyle interventions that lower bp ranked by effectiveness. Also give bp drop for each
intervention. - ANSWER-1. DASH diet - 11
2. Aerobic exercise - 5-8
3. reduce NA <1500 mg/day - 5-6
4. Reducing etoh intake - 2
5. Increase K+ intake
How is HTN defined in patients under 13 years of age - ANSWER-Repeated bps > 95%
Which medications should be used with caution to treat htn in those with ef>35 -
ANSWER-Clonidine
doxazosin
alpha blockers
What qualifies as Severe asymptomatic hypertension? How should you treat it? -
ANSWER-1. SBP >180 , DBP >110 and no sx or only mild HA
2. Oral medications. No need for rapid decrease in bp.
Reasonable first line class of medications for bp control - ANSWER-1. ACE, ARB, CCB,
Thiazide diuretics. Not a BB.
What is a reasonable diuretic to add to a bp regimen already including hctz? -
ANSWER-Spironolactone
Medications appropriate for treating htn in pregnancy - ANSWER-1. Labetalol
2. Methyldopa
3. Nifedipine ER - Procardia
WITH CORRECT SOLUTIONS
What 3 findings of PE would you expect with an aortic dissection - ANSWER-1.
Difference in carotid pulses
2. Early diastolic decrescendo murmur best heard at left 3rd intercostal space
3. Differences in bp between both arms.
What 2 bp meds should not be used within 24 hours of an ami? - ANSWER-1. Enalaprit
2. Short acting nifedipine
What is the first line agent to treat htn in a patient with cocaine induced agitation? -
ANSWER-1. Benzodiazepine - Ativan
Lifestyle interventions that lower bp ranked by effectiveness. Also give bp drop for each
intervention. - ANSWER-1. DASH diet - 11
2. Aerobic exercise - 5-8
3. reduce NA <1500 mg/day - 5-6
4. Reducing etoh intake - 2
5. Increase K+ intake
How is HTN defined in patients under 13 years of age - ANSWER-Repeated bps > 95%
Which medications should be used with caution to treat htn in those with ef>35 -
ANSWER-Clonidine
doxazosin
alpha blockers
What qualifies as Severe asymptomatic hypertension? How should you treat it? -
ANSWER-1. SBP >180 , DBP >110 and no sx or only mild HA
2. Oral medications. No need for rapid decrease in bp.
Reasonable first line class of medications for bp control - ANSWER-1. ACE, ARB, CCB,
Thiazide diuretics. Not a BB.
What is a reasonable diuretic to add to a bp regimen already including hctz? -
ANSWER-Spironolactone
Medications appropriate for treating htn in pregnancy - ANSWER-1. Labetalol
2. Methyldopa
3. Nifedipine ER - Procardia
