Special Populations II
Resistant Hypertension
Hypertensive Crises
Drug Therapy I
Drug Therapy II
100
What is the dose of methyldopa?
What is 250-1000 mg PO BID
100
A.A. is a 40 yr old female with currently controlled BP ranging 110-115/60-75 mm Hg. She is currently on lisinopril, HCTZ, and metoprolol. Does she have resistant hypertension?
What is no?
100
Hypertensive crisis is defined as:
What is BP > 180/120 mm Hg?
100
The ALLHAT trial stopped what arm early due to higher risk of heart failure?
What is the doxazaosin arm?
100
What class of antihypertensives may have additional osteoporosis benefits?
What are thiazide diuretics?
200
BP > 140/90 mm Hg after 20 weeks gestation and new onset proteinuria.
What is preeclampsia?
200
What are three causes of resistant hypertension?
What is volume overload, drug-induced, other conditions, secondary hypertension?
200
T/F: Hypertensive emergency is not associated with target organ damage and should be treated with oral antihypertensives.
What is false?
200
Which antihypertensive drug class can cause gynecomastia, hyperkalemia, and impotence?
What are aldosterone antagonists?
200
T/F: ACE-Is and ARBs have cross reactivity regarding incidence of angioedema.
What is false?
300
Which 2 antihypertensive drug classes are contraindicated in pregnant patients?
What are ACE-Is and ARBs?
300
What is the most common reason for resistant hypertension?
What is non-adherence?
300
Hypertensive emergency should target a __% reduction in MAP.
What is 25%?
300
Dry non-productive cough is due to what?
What is blocking degradation of bradykinin?
300
Which CCB can cause constipation?
What is verapamil?
400
At what BP is restriction of activities, bed rest, and monitoring indicated?
What is BP 140-149/90-95 mm Hg?
400
A.A. is currently taking lisinopril, HCTZ, and metoprolol (at therapeutic doses). However, this patient remain hypertensive despite appropriate adherence. What is an appropriate add-on therapy?
What is spironolactone 25-50 mg PO QD?
400
The exception to lowering blood pressure in hypertensive emergency?
What is acute ischemic stroke?
400
Which beta blockers are used in compensated heart failure?
What are carvedilol, bisoprolol, and metoprolol succinate?
400
What drug class can mask hypoglycemic events in diabetics?
What are beta blockers?
500
The Hypertension in African American Working Group of the International Society on Hypertension in Blacks recommends initiating a two drug combination when SBP is above what?
What is SBP >/= 15 mm Hg above goal?
500
A patient presents to the clinic with consistently elevated BP (140s/90s). Upon review of home medications, which can be contributing to elevated pressures? Home medications: lisinopril, ibuprofen, birth control, HCTZ, metoprolol, omeprazole, hydrocodone, fluoxetine, and prednisone.
What is ibuprofen, birth control, and prednisone?
500
What is the MAP equation?
What is MAP = [SBP + (2xDBP)/3]
500
Which antihypertensive was recently issued an FDA warning in combination with ACE-Is/ARBs in diabetic patients and kidney impairment due to increased risk of hyperkalemia, hypotension, and renal complications?
What is aliskiren?
500
What antihypertensive is contraindicated in patients with a history of mental depression?
What is reserpine?
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