hypertension kursus

Which investigation will help decide whether a newly diagnosed hypertensive patient needs pharmacological treatment at the first visit?

• Electrocardiography

• Urine Full Examination and Microscopic Examination

• Chest X Ray

• Liver Function

• Fasting blood sugar

. A 50 years old woman with type 2 diabetes. Her BP is 132/83 mmHg, urine

microalbumin ABNORMAL x2 6 months apart. What is your plan?

• BP monitoring, KIV ACE inhibitor if BP >140/90 twice in 2 separate occasions

• Start ACE inhibitor on the same day

• Start Calcium channel blocker on the same day

• Start Thiazide diuretic on the same day

• Antihypertensive is not needed at the moment because she does not have

  hypertension.

A 38 years old woman, Para 4, diagnosed with hypertension 2 years ago on low dose

perindopril. RP/ urine protein normal. Her BP is 125/80 mmHg. No active complaint.

No family history of malignancy. What are the health screenings you would

recommend during the visit?

I. Colorectal screening

II. Pap smear

III. Mammography

IV. Pre- pregnancy counselling

• I, II, IV

• I, II, III

• I, IV

• II, III, IV

• II, IV

The following is the drug of choice for monotherapy in an otherwise fit 70 year old

with gouty arthritis and normal renal function (select all that apply):

 

      I.        Losartan

    II.        Hydrochlorothiazide

   III.        Perindopril

  IV.        Telmisartan

    V.        Amlodipine

• I, V

• I, III, IV

• I, III, IV, V

• I, II, V

• IV, V

Mr. AK came to clinic for routine follow up for hypertension. BP at clinic was 185/95mmHg, repeated BP was 190/95mmHg. Clinically he had headache occasionally in the past 2 weeks. Not compliant to medication. Physical examination and ECG are non-remarkable. What is the next step?

• Discharge and continue his previous medication

• Rest and check blood pressure every 30 minutes for 2 hours

• Serve Captopril 12.5mg stat

• Increase dosage of his anti-hypertensive and discharge

• To give IV Labetolol 20mg stat

Which of the following clinical scenarios need lowering BP to <140/90mmHg within 1 hour?

        I.            Hypertensive encephalopathy

      II.            Acute pulmonary edema

    III.            Acute STEMI

    IV.            Ischemic stroke

      V.            Phaeochromocytoma with hypertensive crisis

    VI.            Eclampsia

• I, IV, VI

• I, V, VI

•   V, VI

•   II, III, V

• All of the above 

Which of the following condition needs lowering BP to <120/80mmHg within 1 hour?

•   Eclampsia

• Aortic dissection

• Phaeochromocytoma with hypertensive crisis

•   Hypertensive encephalopathy

•     Hemorrhagic stroke

Mr. MN, 40-year-old man, came for URTI, noted to have BP 150/90 mmHg. Asymptomatic for high BP. Diagnosis was made and he is treated for viralgTreatment was given for URTI. What would you do for his high BP?

•   Assess global CV risk and confirm diagnosis in 1 week

•   Assess global CV risk and confirm diagnosis in 2 monthS

• Assess global CV risk and confirm diagnosis in 3 months

Too small cuff will give

• False low reading

• False hIgh reading

• False 10-20mmhg difference

Full blood count is not considered as basic minimal investigations for HPT.

• True

• False