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Worksheets

PALPABLE THRILLS!🩸

Total questions: 30

Worksheet time: 20mins

Name
Class
Date
1.

What is the most common symptom of high blood pressure?

a)

Racing heartbeat

b)

High body temperature

c)

Fatigue

d)

It has no noticeable symptoms

2.

High blood pressure is the main cause of which of these?

a)

Cancer

b)

Stroke

c)

Diabetes

d)

Congestive Heart Failure

3.

Optimal blood pressure is written as?

a)

120/80

b)

130/80

c)

140/90

d)

210/120

4.

The primary reason for hypertension is :

a)

Diabetes

b)

Renal disease

c)

Unknown

d)

Cancer

5.

Hydralazine works on hypertension by:

a)

Decreasing sympathetic response

b)

Peripheral vasodilation

c)

Directly inhibits renin

d)

Blocks Ca from stimulating muscle walls

6.

'Symptoms occur at rest and during physical activity. Any type of activity causes increasing discomfort.'

This functional classification of pulmonary hypertension falls into which one of the following categories?

a)

Class I

b)

Class II

c)

Class III

d)

Class IV

7.

Connect the images and identify the drug :

(a)  

8.

Identify the logo :

(a)  

9.

The following are the symptoms of hypertensive (a)  

10.

Connect the images and identify the mechanism:

(a)  

11.

Identify this person who invented the sphygmomanometer:

(a)  

12.

Identify the condition:

(a)  

13.

write two gross features of hypertensive retinopathy from following:

-flame shaped hemorrhages

-Yellowish raised abscess

-cotton wool patches

-keratin pearls

(a)  

14.

The given microscopic image depicts an aneurysm of an artery usually found in conditions like Marfan syndrome and Ehlers-Danlos Syndrome. Name the artery and the microscopic feature shown here.

(a)  

15.

Name the characteristic lesion of Pulmonary hypertension shown above.

(a)  

16.

The above image depicts the snake skin appearance of gastric mucosa. Name the condition where we see this gross finding.



(a)  

17.

You are seeing a 60-year-old man for the first time. He has untreated hypertension (168/106 mm Hg and blood pressure has been elevated on at least 3 occasions). There is currently no evidence of target organ dysfunction (heart, neurological, or eyegrounds).

From a therapeutic perspective, what is the best initial approach?

a)

Initiate treatment with 25 mg of hydrochlorothiazide.

b)

Consider initiating treatment with a 2-agent combination pill.

c)

Delay pharmacologic intervention and treat with salt restriction.

18.

You evaluate a woman with chronic hypertension whose blood pressure remains above target despite a daily regimen of benazepril 20 mg, chlorthalidone 25 mg, and amlodipine 10 mg.

Your next step should be:

a)

Add an agent from another class, such as hydralazine or clonidine.

b)

Characterize the patient as having resistant hypertension and initiate therapy with 25 mg of spironolactone (potassium levels permitting).

c)

Add an ARB.

d)

Switch from amlodipine to verapamil.

19.

You see a patient whose previous physician has retired. The patient’s blood pressure is not controlled on a regimen of hydralazine 20 mg three times a day, atenolol 50 mg daily, and 12.5 mg of hydrochlorothiazide daily. The patient has stage 3 chronic kidney disease (GFR 38 mL/min).

You should (choose all that apply):

a)

Switch the diuretic to chlorthalidone.

b)

Consider other medications in lieu of hydralazine and atenolol.

c)

Add clonidine

d)

Increase hydrochlorothiazide to 25 mg.

20.

You are seeing a 66-year-old woman with hypertension that has been hard to control. The patient has non-proteinuric CKD-3 (GFR, 40 cc/min by MDRD calculation) and is on a 3 drug-regimen for blood pressure control: amlodipine 10 mg/day; valsartan 320 mg/day; hydrochlorthiazide 12.5 mg/day.

Comparing home monitoring blood pressure readings with office values demonstrates that she is consistently above her target blood pressure. You should:

a)

Increase the amlodipine to 20 mg/day

b)

Add furosemide once a day.

c)

Consider the patient resistant and initiate spironolactone at 25 mg/day.

d)

Consider an alternative diuretic regimen before classifying her as resistant (chlorthalidone 12.5 to 25 mg/day, indapamide 5 mg/day, or triamterene-hydrochlorothiazide).

21.

You see a 56-year-old man who was previously diagnosed with hypertension and treated with an angiotensin converting enzyme inhibitor, chlorthalidone, and amlodipine. His blood pressure readings have been below target, but today his blood pressure is 190/112 mm Hg. He admits that he stopped his medications. He denies chest pain, shortness of breath, neurologic changes, and visual disturbances.

His examination does not reveal funduscopic changes or neurologic findings, and his heart examination and ECG are normal. You order lab studies for electrolyte levels and renal function; they return later and are normal. You should:

a)

Send him to the emergency department (ED) immediately

b)

Start treating him in the office and do not let him leave until blood pressure is less than 160 100 mm/Hg.

c)

Have him restart his medications and recheck his blood pressure in the next 24 to 72 hours.

d)

Admit him to the hospital.

22.

Reducing salt intake to less than 5g daily can prevent hypertension.

True or False?

a)

True

b)

False

23.

An estimated 64% of adults with hypertension are unaware that they have the condition.

True or false?

a)

True

b)

False

24.

High blood pressure can usually be cured.

true or false?

a)

True

b)

False

25.

Swollen veins on the lower leg are a symptom of portal hypertension.

True or false?

a)

True

b)

False

26.

Electrocardiography was done for a patient who presented with severe exertional dyspnea, chest pain, and occasional fainting spells. It revealed a mitral valve area of 1 sq cm, elevated LA pressure, and significant RV hypertrophy with TR. Which is the next best step in evaluation of this patient?

a)

cardiac MRI

b)

CT pulmonary angiography

c)

Right heart catheterization

d)

Ventilation/ perfusion scan

27.

Which of the following biomarker is associated with high blood pressure?

a)

C-Reactive protein

b)

Creatinine kinase

c)

Myoglobin

d)

CK-MB

28.

The following investigations are appropriate as part of the initial assessment of a patient who has newly diagnosed hypertension:

a)

Blood glucose

b)

Dipstick test of urine for microalbuminuria

c)

Transthoracic echocardiogram

d)

Serum lipids

29.

A 62 year old male with a history of hypertension presents to his primary care physician for a routine check-up. His blood pressure is 220/110. He admits to not taking his blood pressure medications today. His ECG is below. What are the ECG findings?

a)

Normal sinus rhythm and Left ventricular hypertrophy with strain pattern

b)

Tachycardia

c)

Third degree AV block

d)

Left bundle branch block

30.

55-year-old obese man with a history of diabetes and hypertension gets his master health checkup. His lipid profile values are as follows:

Total Cholesterol (T.C): 250 mg/dl,

HDL Cholesterol (HDL-c): 30 mg/dl,

Triglyceride (T.G):150mg/dl. Which ONE of the following is the L.D.L value for this patient?

a)

280 mg/dl

b)

430 mg/dl

c)

190 mg/dl

d)

60 mg/dl