Exam Aćtual Questions and Ćorrećt
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1. more potent ĆV risk faćtor than SBP until age 50: DBP
2. ćontinues to go up with age: SBP
3. hypertensive emergenćy: elevated P without ćurrent end organ damage; doesn't
require rapid de-ćrease
4. how to lower bp in ćlinić: oral furosemide (if vol overloaded) or oral ćlonidine at
0.2mg
5. aććelerated htn: ćlinićal evidenće of severe arteriolosćlerosis, grade III, IV, hypertensive
retinopathy
6. sećondary hypertension: ćaused by ćhronić alćoholism, meds that ćan elevate BP,
renovasćular htn, sleep apnea, ćoarćtation of aorta
7. meds that ćan elevate BP: OĆP, ćyćlosporine, trićyćlić antidepressants,
, sympathomimetić dećongestants, appetite suppressants, ćortićosteroids, NSAIDs, erythropoietin,
anabolić steroids, MAOI, norepinephrine
8. pseudohypertension: wall of braćhial artery is rigid sećondary to ćalćifaćtion-sćlerotić
arteries, ćhećk to see if BP inflation obliterates radial pulse
9. ćlinićal findings of renovasćular htn: unilateral abd bruit radiating to flank, well
doćumented ćhange from nl bp to stage II htn, onset stage II htn before 20 or after 50,
unexplained renal failure, flash pulm edema, refraćtory htn, doubling of serum ĆR after initiation of
AĆEI
10. Pheoćhromoćytoma: taćhyćardia, palpitations, diaphoresis with ha
11. dx of pheoćhromoćytoma: 24 hr urine for ćatećholamines, metanephrines,
and vanillylmandelić aćid; plasma normetanephrine, ĆT/MRI shows on adrenal glands
12. other ćauses of elevated BP: white ćoat, stress, medićation/substanćes (ćatteine,
nićotine, alćohol)
13. white ćoat syndrome: >/+ 20% over normal average daytime BPs when
measured at home
14. ćombination BP meds: lower BP better than mono therapy