CMN 572 CORRECT TEST PAPER QUESTIONS AND
ANSWERS SET A+
✔✔What is REM sleep characterized by? - ✔✔Occurs in second half of night;
Characterized by dreaming/nightmares, absent muscle tone, eye movements, muscle
twitching, low body temperature
✔✔Sleepwalking and night terrors occur in? - ✔✔Non- REM sleep
✔✔What is the "gold standard" for objective measurement of sleep? -
✔✔Polysomnography
✔✔A neck circumference > 40cm increases the risk of? - ✔✔Obstructive Sleep Apnea
✔✔What do we treat OSA with? - ✔✔C-PAP
✔✔What are medication classes used to commonly treat sleep disturbances? -
✔✔Melatonin, Alpha Agonists, hypnotics/sedatives, antidepressants, antipsychotics,
antiepileptics, stimulannts, antiparkinson drugs, iron supplements
✔✔BP should be measured annually among all children age ___ and older. - ✔✔3
✔✔A normal BP is children is considered? - ✔✔Less than 90th percentile based on
age, sex, height
✔✔An elevated BP in children? - ✔✔90th to less than 95th percentile
OR 120/80 to less than 95th percentile (whichever is lower)
✔✔In children, stage I HTN includes: - ✔✔More than 95th percentile to less than 95th
percentile + 12 mm Hg
130/80-139/89
, ✔✔Stage II HTN in children is: - ✔✔More than 95th percentile + 12 mm Hg or
140/90
✔✔In children, HTN should only be diagnosed after how many episodes of elevated Bp
on auscultation? - ✔✔3
✔✔In children, what should be done to confirm the diagnosis of HTN/ - ✔✔Ambulatory
Bp measurement
✔✔Lifestyle management in the child with HTN includes: - ✔✔DASH diet, vigorous
physical activity for at least 30 minutes for 3-5 days/week
✔✔If pharmacologic therapy is needed for the hypertensive child, what drugs are
preferred? - ✔✔ACE inhibitors, ARBs, long-acting CCB's, or thiazide diuretics
✔✔In children with HTN, what level of HTN is a contraindication to play sports? - ✔✔At
or beyond stage II HTN
✔✔JNC 8 recommends drug therapy in adults < 60y.o for BP >/= ? - ✔✔140/90
✔✔JNC 8 recommends a goal BP of _____ for patient's >/= 60y.o - ✔✔<150/90
✔✔For patients with diabetes and CKD, JNC 8 recommends a goal BP of ? - ✔✔<
140/90
✔✔in non-black patients with HTN, what are acceptable drug class choices? -
✔✔Thiazide type diuretics, CCB's, ACEI's, and ARBs
✔✔In black patient's with HTN, what are acceptable initial drug class choices? -
✔✔Thiazide Diuretics or CCB's
✔✔Mr. Harvey wants to know the advantages to thiazide diuretics? - ✔✔They increase
calcium reabsorption for urine (therefore have a favorable effect on osteoporosis), they
are cheap, they enhance the effects of other antihypertensives
✔✔What are some disadvantages to thiazide diuretics? - ✔✔They Deplete potassium,
may worsen acute gout symptoms, may cause hypotension
✔✔What drugs, when combined with thiazide diuretics, prevent diuretic-induced
potassium loss, thereby eliminating the need for serum potassium replacement
therapy? - ✔✔ACEI or ARBs
✔✔All patients on loop diuretics need to have what lab test monitored? - ✔✔BMP
ANSWERS SET A+
✔✔What is REM sleep characterized by? - ✔✔Occurs in second half of night;
Characterized by dreaming/nightmares, absent muscle tone, eye movements, muscle
twitching, low body temperature
✔✔Sleepwalking and night terrors occur in? - ✔✔Non- REM sleep
✔✔What is the "gold standard" for objective measurement of sleep? -
✔✔Polysomnography
✔✔A neck circumference > 40cm increases the risk of? - ✔✔Obstructive Sleep Apnea
✔✔What do we treat OSA with? - ✔✔C-PAP
✔✔What are medication classes used to commonly treat sleep disturbances? -
✔✔Melatonin, Alpha Agonists, hypnotics/sedatives, antidepressants, antipsychotics,
antiepileptics, stimulannts, antiparkinson drugs, iron supplements
✔✔BP should be measured annually among all children age ___ and older. - ✔✔3
✔✔A normal BP is children is considered? - ✔✔Less than 90th percentile based on
age, sex, height
✔✔An elevated BP in children? - ✔✔90th to less than 95th percentile
OR 120/80 to less than 95th percentile (whichever is lower)
✔✔In children, stage I HTN includes: - ✔✔More than 95th percentile to less than 95th
percentile + 12 mm Hg
130/80-139/89
, ✔✔Stage II HTN in children is: - ✔✔More than 95th percentile + 12 mm Hg or
140/90
✔✔In children, HTN should only be diagnosed after how many episodes of elevated Bp
on auscultation? - ✔✔3
✔✔In children, what should be done to confirm the diagnosis of HTN/ - ✔✔Ambulatory
Bp measurement
✔✔Lifestyle management in the child with HTN includes: - ✔✔DASH diet, vigorous
physical activity for at least 30 minutes for 3-5 days/week
✔✔If pharmacologic therapy is needed for the hypertensive child, what drugs are
preferred? - ✔✔ACE inhibitors, ARBs, long-acting CCB's, or thiazide diuretics
✔✔In children with HTN, what level of HTN is a contraindication to play sports? - ✔✔At
or beyond stage II HTN
✔✔JNC 8 recommends drug therapy in adults < 60y.o for BP >/= ? - ✔✔140/90
✔✔JNC 8 recommends a goal BP of _____ for patient's >/= 60y.o - ✔✔<150/90
✔✔For patients with diabetes and CKD, JNC 8 recommends a goal BP of ? - ✔✔<
140/90
✔✔in non-black patients with HTN, what are acceptable drug class choices? -
✔✔Thiazide type diuretics, CCB's, ACEI's, and ARBs
✔✔In black patient's with HTN, what are acceptable initial drug class choices? -
✔✔Thiazide Diuretics or CCB's
✔✔Mr. Harvey wants to know the advantages to thiazide diuretics? - ✔✔They increase
calcium reabsorption for urine (therefore have a favorable effect on osteoporosis), they
are cheap, they enhance the effects of other antihypertensives
✔✔What are some disadvantages to thiazide diuretics? - ✔✔They Deplete potassium,
may worsen acute gout symptoms, may cause hypotension
✔✔What drugs, when combined with thiazide diuretics, prevent diuretic-induced
potassium loss, thereby eliminating the need for serum potassium replacement
therapy? - ✔✔ACEI or ARBs
✔✔All patients on loop diuretics need to have what lab test monitored? - ✔✔BMP
