Boards – HTN Exam Questions With 100% Correct Answer

For most people with any risk factors, the goal blood pressure and the blood pressure at which you start
treating is 130/80 by 2017 ACC/AHA guidelines. When is this not true?



Ans: Absolutely otherwise healthy people, start treating at 140/90, goal 130/80



Hx of stroke, start treating at 140/90, goal 130/80 (to perfuse some of those poorly perfused areas)



Old people, discard the diastolic goal; systolic goal 130



Hx of stroke



Quiz What were the JNC-8 guidelines for HTN?



Ans: <60yo, treat at and to 140/90

>60yo, treat at and to 150/90



Quiz First line HTN medications per JNC-8



Ans: Thiazide, CCB, ACEi, ARB

, (Black patients: Thiazide or CCB)



Quiz Children have hypertension if their blood pressure is >__%ile



Ans: 95th percentile



Quiz Most common cause of secondary hypertension in middle aged patients?



Ans: Primary hyperaldosteronism

--> We don't notice this because we often start them on ACEi/ARB, which blocks the RAAS system, fixing
the problem



Quiz How is primary hyperaldosteronism diagnosed?



Ans: Aldosterone/renin ratio



Quiz There are a bunch of causes of secondary hypertension. Name at least three



Ans: Primary hyperaldosteronism

Renal artery stenosis

Obstructive sleep apnea



Pheochromocytoma

Hypercortisolism

Hyperthyroidism

CKD