History
Physical Exam
Causes
100

A history of snoring, daytime sleepiness, and obesity in a hypertensive patient suggests __________.

Obstructive sleep apnea

100

On physical exam, delayed or weak femoral pulses compared to radial pulses suggests __________.

Coarctation of the aorta

100

A patient with renal artery stenosis may have worsening hypertension after starting __________ inhibitors.

ACE or ARB

200

A patient with hypothyroidism may present with hypertension due to increased __________.

Systemic vascular resistance

200

A patient with central obesity, purple striae, and easy bruising suggests hypertension due to __________.

Cushing syndrome

200

A patient taking NSAIDs, oral contraceptives, or steroids may develop secondary hypertension due to __________.

Medication-induced hypertension

300

____________ should be suspected in patients with resistant hypertension (uncontrolled on 3+ drugs), sudden onset or worsening BP, onset before age 30, or malignant hypertension.

Secondary hypertension

300

On physical exam, a patient with new onset hypertension is found to have a renal artery bruit. This is most suggestive of __________.

Renal artery stenosis

300

Renovascular hypertension is typically caused by ___________ in younger patients and atherosclerosis in older patients.

Fibromuscular dysplasia

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