with correct answers A+ Grade
Scenario: A male patient ran out of medication a week ago. Today his BP is 190/120. He is totally
asymptomatic? What do you do?
- correct answer Don't send to ED
- No symptoms or signs of TOD
Sounds like Hypertensive Urgency
Do
- Start back on meds, see the next day.
- You may see him every day that week until his BP gets back under control
What is the goal of controlling hypertension?
- correct answer To prevent target organ damage
Hypertension in adolescents is typically what type?
- correct answer Secondary
What are some the most common causes of secondary hypertension in children under 10?
- correct answer - Renal Disease
What is the hypertensive precential that we are concerned about with adolescents?
- correct answer 95th
What is the absolute only contraindication when preventing adolescents from playing sports?
- correct answer - Fever
, Also, maybe not fail, but refer out for left ventricular hypertrophy.
What is the normal BP cutoff for a 70-year-old?
- correct answer 150/90
What can we use a fibrate for, and where would we look to see if it is working? (Not typically first line)
- correct answer Triglycerides
What are the most significant modifiable risk factors contributing to stroke?
- correct answer Biggest one:
Hypertension
What are the two groups that qualify for a statin even if their lipid panel isn't too bad?
- correct answer - Diabetics
- Those with known cardiovascular diseases (PAD, arterial sclerosis)
What are some signs of target organ damage?
- correct answer - Protein in the urine
- Elevated Creatinine
- Things with kidneys
- Retinopathy
- Left ventricular hypertrophy
"I have blurry vision"
What prevention group do immunizations fall into, primary, secondary, or tertiary?
- correct answer Primary
What is primary prevention?
- correct answer The patient has no signs of disease.
General population patient