Free Printable hypertension kursus

1.

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

a)

Electrocardiography

b)

Urine Full Examination and Microscopic Examination

c)

Chest X Ray

d)

Liver Function

e)

Fasting blood sugar

2.

. 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?

a)

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

b)

Start ACE inhibitor on the same day

c)

Start Calcium channel blocker on the same day

d)

Start Thiazide diuretic on the same day

e)

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

hypertension.

3.

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

a)

I, II, IV

b)

I, II, III

c)

I, IV

d)

II, III, IV

e)

II, IV

4.

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

a)

I, V

b)

I, III, IV

c)

I, III, IV, V

d)

I, II, V

e)

IV, V

5.

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?

a)

Discharge and continue his previous medication

b)

Rest and check blood pressure every 30 minutes for 2 hours

c)

Serve Captopril 12.5mg stat

d)

Increase dosage of his anti-hypertensive and discharge

e)

To give IV Labetolol 20mg stat

6.

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

a)

I, IV, VI

b)

I, V, VI

c)

V, VI

d)

II, III, V

e)

All of the above

7.

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

a)

Eclampsia

b)

Aortic dissection

c)

Phaeochromocytoma with hypertensive crisis

d)

Hypertensive encephalopathy

e)

Hemorrhagic stroke

8.

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?

a)

Assess global CV risk and confirm diagnosis in 1 week

b)

Assess global CV risk and confirm diagnosis in 2 monthS

c)

Assess global CV risk and confirm diagnosis in 3 months

9.

Too small cuff will give

a)

False low reading

b)

False hIgh reading

c)

False 10-20mmhg difference

10.

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

a)

True

b)

False

hypertension kursus

Total questions: 10

Worksheet time: 8mins

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