Hypertension TBL

BP Numbers

100

Blood Pressure that defines HTN Stage 2, per ACC/AHA guidelines

BP > 140/90 mmHg

200

Elevated Blood Pressure, per ACC/AHA

SBP 120-129 mmHg and DBP < 80 mmHg

300

HTN Stage 1, per ACC/AHA 

SBP: 130-139 mmHg and DBP: 80-89 mmHg

400

Define Hypertensive Emergency

BP > 180/110-120 mmHg + evidence of Acute Target Organ Damage

500

Nighttime ABPM threshold for HTN Diagnosis

BP > 110/65 mmHg

BP Medications

100

Name 3 Cardioselective Beta-Blocker 

Nevibulol, Metoprolol, Atenolol, Bisoprolol, Betaxolol

200

Antihypertensive Medications that increase risk of gout flare (Name at least 1)

Thiazide diuretics, Loop Diuretics, ACEi, Beta-blockers and ARBs (Except for Losartan) - Fun Fact

300

Which class of Antihypertensive should be avoided in HFrEF patients

CCBs. *Beta-blockers in Decompensated HF patients

400

Preferred antihypertensive medications during pregnancy (Name 2)

Methyldopa, Nifedipine and Labetalol 

500

Preferred Initial Antihypertensive medication groups for black adults, with no albuminuria 

CCBs and Thiazides 

Meds 2

100

Group of medications to consider in patients with HTN and BPH 

Alpha -1 Blockers (Doxazosin, Terazosin...)

200

Thiazide diuretic with the longest half life

Chlorthalidone

300

Preferred diuretics in patients with resistance hypertension, signs of volume overload and eGFR <30 mL/min

Loop Diuretics

400

Preferred antihypertensive medication for patients with HTN and Chornic thoracic aortic disease

Beta-blockers

500

Mention at east 2 groups of drugs that cause HTN:

- OCPs, Steroids, Immunosuppresive agents (Tacrolimus, Sirolimus), NSAIDs, Amphetamines, Cocaine, Decongestants (Ephedrine)

HTN and...

100

HTN +Abdominal fullness in flanks + Family Hx of Cerebral Aneurysms

ADPKD

200

Young female (<35 years old) + HTN + Cerebral Aneurysm + Abdominal bruit

Nonatherosclerotic Renovascular Disease (Fibromuscular hyperpalsia)

300

Acute onset HTN + Mydriasis + Tachycardia + Diaphoresis

Amphetamine/Cocaine use. Could also be Pheochromocytoma (episodic and usually associated with Adrenal Mass)

400

HTN + Hypokalemia + Muscle Cramps/Weakness: screening test for this type of secondary HTN

Plasma Aldosterone/Renin Ratio 

500

HTN + Purple Striae + Hirsutism + Newly Dx DM: Screening test for this type of secondary HTN

Overnight 1 mg dexamethasone suppression test

Miscelaneous

100

Which guideline are we using to base our clinical practice in the US?

2017 ACC/AHA guidelines

200

Mention the name of at least 3 interns participating in this TBL

:) 

300

Nonpharmacological intervention that has the greatest effect in BP

DASH diet

400

After initiation of a new antihypertensive medication, how soon should we have the patient return to clinic to ensure BP goal are being met? (Or call, because COVID...)

~1 month

500

Where is renin produced?

*Extra 100 points if mention the cells that produce it*

Kidney, Juxtaglomerular cells (JGC)