UTA FAMILY 3 STUDY GUIDE 2025/2026 QUESTIONS
AND ANSWERS GRADED A+
✔✔2017 ACC/AHA guidelines: hypertensive URGENCY - ✔✔- elevated BP without
current organ damage
- happens when patients stop taking their meds
- doesn't require a rapid decrease
- check proteinuria and BMP
- one week follow up
✔✔During hypertensive URGENCY lower BP with these drugs - ✔✔- furosemide 20 mg
or higher
- clonidine 0.2 mg
✔✔Clinical evidence for Accelerated HTN - ✔✔- severe arteriosclerosis
- grade 3 or 4 hypertensive retinopathy
- renal insufficiency for which there is no apparent cause
- prognosis if untreated poor
✔✔List meds that can elevate BP - ✔✔- oral contraceptives
- cyclosporine
- TCAs
- sympathomimetic decongestants
- appetite suppressants
- corticosteroids
- NSAIDs
-erythropoietin
- anabolic steroids
- MAOI
- Norepinephrine reuptake inhibitors
✔✔Mnemonic for secondary HTN causes - ✔✔- accuracy, aldosteronism, apnea
- bruits, bad kidneys
- catecholamines, cushings, coarct
- drugs, diet
- endocrine, erythropoietin
✔✔What is the new recommended sodium intake? - ✔✔1500 mg daily
✔✔When is it safe to begin ASA therapy with HTN? - ✔✔BP should be controlled
✔✔JNC 8 guidleines: target BP for all patients - ✔✔< 140/90
✔✔JNC 8 guidelines: target BP > 60 - ✔✔< 150/90
, ✔✔Diuretics HTN - ✔✔- confusing when patient develops HF
- move to loop diuretic
✔✔Thiazides HTN - ✔✔- caution in gout or hyperlipidemia
- may increase lipids in high doses
- not effective with impaired renal function
✔✔Consider switching to this drug if HCTZ isn't working for HTN - ✔✔clorthalidone
✔✔Loop diuretics HTN - ✔✔- use renal insufficiency
- not for gout
- may increase calcium loss
✔✔Define Pediatric HTN - ✔✔- up to 12 yo
- average SBP and/or DBP ≥ 95th percentile for gender, age, and height on ≥ 3
occasions
✔✔Define adolescent HTN - ✔✔- 13 yo and up
- BP levels ≥ 130/80 should be considered hypertensive
✔✔Normal BP 1-12 yo - ✔✔< 90th percentile
✔✔Pediatric 1-12 yo elevated BP - ✔✔- 90-95th percentile
- 120/80 to < 95th percentile whichever is lower
✔✔Pediatric HTN 1-12 yo stage 1 - ✔✔> 95th percentile to < 95th + 12 mmHg or
130-139/80-89
✔✔Pediatric HTN 1-12 yo stage 2 - ✔✔> 95th percentile+ 12 mmHg or > 140/90
✔✔normal BP 13 yo - ✔✔<120/80
✔✔elevated BP 13 yo - ✔✔120-129/<80
✔✔HTN 13 yo stage 1 - ✔✔130-139/80-89
✔✔HTN 13 yo stage 2 - ✔✔> 140/90
✔✔All children with persistent BP should have these labs - ✔✔- BUN
- creatinine
- electrolytes
- UA +/- urine culture
- CBC
- renal US > 8yo
AND ANSWERS GRADED A+
✔✔2017 ACC/AHA guidelines: hypertensive URGENCY - ✔✔- elevated BP without
current organ damage
- happens when patients stop taking their meds
- doesn't require a rapid decrease
- check proteinuria and BMP
- one week follow up
✔✔During hypertensive URGENCY lower BP with these drugs - ✔✔- furosemide 20 mg
or higher
- clonidine 0.2 mg
✔✔Clinical evidence for Accelerated HTN - ✔✔- severe arteriosclerosis
- grade 3 or 4 hypertensive retinopathy
- renal insufficiency for which there is no apparent cause
- prognosis if untreated poor
✔✔List meds that can elevate BP - ✔✔- oral contraceptives
- cyclosporine
- TCAs
- sympathomimetic decongestants
- appetite suppressants
- corticosteroids
- NSAIDs
-erythropoietin
- anabolic steroids
- MAOI
- Norepinephrine reuptake inhibitors
✔✔Mnemonic for secondary HTN causes - ✔✔- accuracy, aldosteronism, apnea
- bruits, bad kidneys
- catecholamines, cushings, coarct
- drugs, diet
- endocrine, erythropoietin
✔✔What is the new recommended sodium intake? - ✔✔1500 mg daily
✔✔When is it safe to begin ASA therapy with HTN? - ✔✔BP should be controlled
✔✔JNC 8 guidleines: target BP for all patients - ✔✔< 140/90
✔✔JNC 8 guidelines: target BP > 60 - ✔✔< 150/90
, ✔✔Diuretics HTN - ✔✔- confusing when patient develops HF
- move to loop diuretic
✔✔Thiazides HTN - ✔✔- caution in gout or hyperlipidemia
- may increase lipids in high doses
- not effective with impaired renal function
✔✔Consider switching to this drug if HCTZ isn't working for HTN - ✔✔clorthalidone
✔✔Loop diuretics HTN - ✔✔- use renal insufficiency
- not for gout
- may increase calcium loss
✔✔Define Pediatric HTN - ✔✔- up to 12 yo
- average SBP and/or DBP ≥ 95th percentile for gender, age, and height on ≥ 3
occasions
✔✔Define adolescent HTN - ✔✔- 13 yo and up
- BP levels ≥ 130/80 should be considered hypertensive
✔✔Normal BP 1-12 yo - ✔✔< 90th percentile
✔✔Pediatric 1-12 yo elevated BP - ✔✔- 90-95th percentile
- 120/80 to < 95th percentile whichever is lower
✔✔Pediatric HTN 1-12 yo stage 1 - ✔✔> 95th percentile to < 95th + 12 mmHg or
130-139/80-89
✔✔Pediatric HTN 1-12 yo stage 2 - ✔✔> 95th percentile+ 12 mmHg or > 140/90
✔✔normal BP 13 yo - ✔✔<120/80
✔✔elevated BP 13 yo - ✔✔120-129/<80
✔✔HTN 13 yo stage 1 - ✔✔130-139/80-89
✔✔HTN 13 yo stage 2 - ✔✔> 140/90
✔✔All children with persistent BP should have these labs - ✔✔- BUN
- creatinine
- electrolytes
- UA +/- urine culture
- CBC
- renal US > 8yo
