ACTUAL Exam Questions and CORRECT
Answers
2017 ACC/AHA guidelines: normal BP - CORRECT ANSWER - <120 / <80
2017 ACC/AHA guidelines: elevated BP - CORRECT ANSWER - 120-129/ <80
2017 ACC/AHA guidelines: stage 1 HTN - CORRECT ANSWER - 130--89
2017 ACC/AHA guidelines: stage 2 HTN - CORRECT ANSWER - ≥ 140/ ≥ 90
What is recommended for white coat hypertension? - CORRECT ANSWER - - lifestyle
modification
- annual ABPM or HBPM
What is recommended for masked hypertension? - CORRECT ANSWER - - lifestyle
modification
- start HTN medication
What is recommended for elevated BP? - CORRECT ANSWER - - lifestyle modification
- annual ABPM
What is secondary hypertension? - CORRECT ANSWER - - drug resistant/induced
hypertension
- exacerbation of previously controlled hypertension
- accelerated/malignant hypertension
- unprovoked or excessive hypokalemia
,What are common causes of secondary hypertension? - CORRECT ANSWER - - renal
disease
- aldosteronism
- OSA
- drug and alcohol induced
What are non-pharmacological interventions for hypertension? - CORRECT ANSWER --
weight loss
- DASH diet
- sodium reduction
- potassium supplementation
- reduce alcohol consumption
2017 ACC/AHA guidelines: clinical CVD and BP ≥ 130 / ≥ 80 - CORRECT ANSWER -
use BP lowering meds
2017 ACC/AHA guidelines: primary prevention in adults 10 yr ASCVD risk of ≥ 10% -
CORRECT ANSWER - use BP lowering meds
2017 ACC/AHA guidelines: 10 yr risk < 10% and SBP ≥ 140/90 - CORRECT ANSWER -
use BP lowering meds
2017 ACC/AHA guidelines: normal BP reassessment - CORRECT ANSWER - yearly
2017 ACC/AHA guidelines: elevated BP reassessment - CORRECT ANSWER - 3-6
months
2017 ACC/AHA guidelines: stage 1 HTN reassessment and 10 yr ASCVD < 10% - CORRECT
ANSWER - 3-6 months
, 2017 ACC/AHA guidelines: stage 2 HTN reassessment - CORRECT ANSWER - one
month until goal BP met, then 3-6 months
2017 ACC/AHA guidelines: stage 1 HTN reassessment and 10 yr ASCVD > 10% - CORRECT
ANSWER - one month until BP goal met, then 3-6 months
What hypertensive medications should not be prescribed simultaneously? - CORRECT
ANSWER - - ACE
- ARB
- Renin Inhibitor
2017 ACC/AHA guidelines: first line agents - CORRECT ANSWER - - thiazide diuretics
- CCBs
- ACE
- ARBs
2017 ACC/AHA guidelines: initiation of drug therapy in stage 2 HTN - CORRECT
ANSWER - initiate drug therapy with 2 first line medications of different classes as
separate agents or combo drug
2017 ACC/AHA guidelines: initiation of drug therapy in stage 1 HTN - CORRECT
ANSWER - initiate therapy with a single drug
2017 ACC/AHA guidelines: HTN reassessment for new or adjusted drug regimen - CORRECT
ANSWER - follow up at monthly intervals until control is sustained
2017 ACC/AHA guidelines: black adults with HTN, no HF or CKD - CORRECT
ANSWER - initiate therapy with thiazide diuretic or CCB