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Hypertension Quiz 2025

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

What is the minimum percentage of the arm circumference that the bladder width within the cuff should encircle when measuring blood pressure?

a)

50%

b)

60%

c)

80%

d)

90%

2.

What are the main factors that create hypertension according to the pathophysiology of hypertension?

a)

Decrease in cardiac output and peripheral resistance

b)

Increase in cardiac output and total peripheral resistance

c)

Decrease in heart rate and stroke volume

d)

Increase in vessel diameter and blood viscosity

3.

What effect does an increase in blood viscosity have on hypertension?

a)

It decreases peripheral resistance

b)

It increases peripheral resistance

c)

It has no effect on peripheral resistance

d)

It decreases cardiac output

4.

Which of the following is a result of increased sympathetic nervous system activity related to insulin?

a)

Decreased insulin resistance

b)

Increased insulin resistance

c)

No change in insulin resistance

d)

Increased insulin sensitivity

5.

Which minerals are required for natriuretic hormones to function properly?

a)

Potassium, calcium, and magnesium

b)

Sodium, chloride, and iron

c)

Zinc, copper, and selenium

d)

Phosphorus, iodine, and sulfur

6.

How do natriuretic hormones affect the sympathetic nervous system (SNS)?

a)

Inhibition of SNS

b)

Activation of SNS

c)

No effect on SNS

d)

Increase SNS activity

7.

Which type of hypertension is characterized by elevated blood pressure in a clinical setting but not at home?

a)

Labile Hypertension

b)

White Coat Hypertension

c)

Masked Hypertension

d)

Secondary Hypertension

8.

What is the main cause of Secondary Hypertension?

a)

Idiopathic

b)

Renal Artery Stenosis

c)

Liddle Syndrome

d)

Adrenal Hyperplasia

9.

What is a key pathophysiological change in isolated hypertension in the elderly?

a)

Decreased arterial circulation

b)

Progressive stiffening of arterial circulation

c)

Increased elasticity of arteries

d)

Reduced blood viscosity

10.

What happens to the risk of cardiovascular complications with each increment of 20mmHg in systolic blood pressure or 10mmHg in diastolic blood pressure above the optimal level?

a)

Risk decreases by half

b)

Risk remains the same

c)

Risk doubles

d)

Risk triples

11.

What enzyme is responsible for convert Angiotension I to Angiotensin II, which is a potent vasoconstrictor. This enzyme is a target for a common BP medication class.

a)

Aldosterone

b)

Renin

c)

Angiotensin Converting Enzyme

d)

Angiotensinogen

12.

Primary Aldosteronism HTN leads to hypertension through which mechanism?

a)

Excess cortisol acts on mineralocorticoid receptors through RAAS system.

b)

Increased adrenaline due to catecholamine-secreting tumor.

c)

Activation of SNS through repetitive hypoxia and hypercapnia.

d)

Increased sodium reabsorption in renal tubules and increased secretion of potassium and hydrogen ions.

13.

What fundoscopic finding is shown here?

a)

AV nicking

b)

cotton wool spot

c)

flame-shaped hemorrhage

d)

hard exudate

14.

Which drug class are considered first-line treatment of choice?

a)

CCB

b)

Thiazides

c)

BB

d)

Renin Inhibitors

15.

Which drug class is contraindicated in patients with asthma and/or COPD?

a)

Ace Inhibitors

b)

Calcium Channel Blockers

(Non-dihydropyridines)

c)

Beta Blockers

(Non-selective agents)

d)

Central-Acting Alpha-2 Agonists

16.

Which of the following drug classes does NOT typically cause hyperkalemia?

a)

Aldosterone Antagonists

b)

Loop Diuretics

c)

Ace Inhibitors

d)

Renin Inhibitors

17.

Which class of drugs is preferred for hypertension in a patient who is post-MI?

a)

Thiazides

b)

Beta Blockers

c)

Calcium Channel Blockers

d)

Alpha Blockers

18.

Which of the following hypertensive drug classes would be beneficial for a patient who also has benign prostate hyperplasia?

a)

Calcium Channel Blockers

b)

Beta Blockers

c)

Central-Acting Alpha-2 Agonists

d)

Alpha-1 Blocker

19.

Which of the following would indicate hypertensive emergency?

a)

severe headache with nausea and vomiting

b)

chest pain and dyspnea

c)

papilledema

d)

altered mental status

20.

Which of the following would be an ideal initial drug therapy option for African American patient without co-morbidities?

a)

Calcium Channel Blocker

b)

Ace Inhibitor

c)

Beta Blocker

d)

Angiotensin II Receptor Blocker