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PNH301 - Test 2 with comprehensive questions and correct answers

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PNH301 - Test 2 with comprehensive questions and correct answers

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PNH301 - Test 2 with
comprehensive questions and
correct answers




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,1. What is high blood pressure? Answer: 140/90 mmHg
2. Primary HTN Answer: elevated BP in the absence of underlying disease
3. Secondary HTN Answer: high BP due to underlying pathophysiology (disease/disorder)
4. Diseases/Disorders that Contribute to HTN Answer: - kidney disease
-endocrine disorders
-pregnancy
-medications (steroids, contraceptives)
-neurological disorders
-congenital aortic disorders (coarctation or narrowing)
5. Diagnosing Hypertension (identifying if there's an underlying cause)
Answer: - urinalysis
-blood chemistry (K+, Na, blood urea, and creatinine)
-fasting blood glucose
-fasting total cholesterol
-12 lead EKG
6. Complications of HTN Answer: - coronary artery disease
-left ventricular hypertrophy
-heart failure
-cerebrovascular disease
-peripheral arterial disease
-nephrosclerosis
-retinal damage
-arterial vessels of lower extremities
7. Prevalence of HTN in specific groups Answer: - prevalence increases with age
-women with high BP have a greater risk for cardiovascular disease
-Indigenous people have a higher incidence of cardiovascular disease than non-indigenous people in
Canada
-more prevalent in older women than in older men
8. Secondary Symptom's of HTN Answer: - fatigue
-decreased activity tolerance
-palpitations
-angina


,-dyspnea






, 9. Lifestyle Modifications (HTN) Answer: - nutrition
-weight reduction
-modification in alcohol consumption
-physical activity
-avoidance of tobacco products
-stress management
10. Goals of HTN Management Answer: - achieve and maintain target BP
-understand and implement therapeutic plan
-menial or no unpleasant adverse ettects
-confidence of ability to manage and cope with condition
11. Age- Related Considerations (HTN) Answer: - loss of tissue elasticity
-increased collagen content and stittness of the myocardium
-increased peripheral vascular resistance
-decreased B-adrenergic receptor sensitivity
-blunting of baroreceptor reflexes
-decreased kidney function
-decreased renin response to sodium and water depletion
12. What is a hypertensive crisis? Answer: - severe abrupt increases in DBP (defined
as >120-130 mmHg)
-rate of increase in BP is more important than the absolute value
-often occurs in patients with a hisotry of HTN who have failed to adhere to their medication regimen
or who have been under medicated

(180/120)
13. Hypertensive Crisis Answer: Clinical Manifestations Answer: -
encephaopathy, cerebral hemorrhage
-acute renal failure
-MI
-acute left ventricular failure with pulmonary edema
-dissecting aortic aneurysm
14. Management of Hypertensive Crisis Answer: - IV
-Monitor cardiac/renal function

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