Hypertension MCQs

Drug of choice for increased ICP/intracranial hypertension: Mannitol

Drug of choice for pregnancy-induced hypertension: Labetalol → Hydralazine

Drug of choice for pre-eclampsia: Labetalol → Hydralazine; definite treatment = delivery of fetus. JNC-VII: hypertension in pregnancy = Methyldopa; hypertensive emergency = Hydralazine → Labetalol; Harrison/NICE/Obs-Gynae recommend Labetalol.

Triad of hypertension, bradycardia, and respiratory depression: Cushing reflex

'Flea-bitten' kidney is seen in: Malignant hypertension

Hemorrhage most commonly caused by systemic hypertension: Intraparenchymal hemorrhage

Most common cause of intracranial bleed: Hypertension

Most common cause of Hemorrhagic stroke: Hypertension

Renal cause of hypertension in male smokers is atherosclerosis

Renal cause of hypertension in young female is fibro-muscular dysplasia

The only HTN e hypokalemia think about increased aldosterone

Drug of choice in black population for HTN is CCB if not controlled then diuretics

1st line drug in <55y/o non black population for HTN is ACE-i/ARBs.2nd line is ACE-i/ARBs+diuretics.

1st line drug in >55y/o non black population for HTN is CCB(difine).2nd line is CCB+diuretics

If refractory HTN then go for alpha-1 blockers or spironolactone

Drug of choice in HTN with DM pt is ACE-i/ARBs.

Drug of choice in HTN with CKD pt is ACE-i/ARBs.

Drug of choice in HTN with post M.I pt is beta-blockers,AcE-i

Drug of choice in HTN with osteoporosis pt is thiazide diuretic(because trap CA+)

Drug of choice in HTN with migraine pt is beta blockers

Drug of choice FOR HTN pt with cluster headache is beta blockers

Most common risk factor of atherosclerosis is HTN

A 57 year-old male presenting with sudden onset tearing pain which radiates to scapula pt has H/O HTN.what is the best initial test.Answer: CXR

Renovascular hypertension and juxtaglomerular cell tumors is associated with: Secondary hyperaldosteronism

The most common cause of ventricular hypertrophy world wide is Hypertension

Features of hyperthermia:; HTN; HYPERTHERMIA; HYPERTONIA

Triad of gestational HTN(pregnancy induced HTN).; persistently increase BP>140/90mmHg.; no protein urea; HTN after 20wks

Drug of choice in pregnancy induced(gestational)HTN is Labetalol>methyl dopa>hydralazine

Triad of chronic hypertension:; increase BP<20wks of pregnancy; BP>140/90; protein urea +/

Glomerular hypertension present in diabetic glomerulonephropathy due to construction of efferent artrioles.

Doc for Idiopathic intracranial HTN=Acetazolamide.

Liddle syndrome is congenital problem in which epithelial Na+ channels on late part of dct are hyperfunctioning cxing hypertension and hypokalemia in kids. treatment is Amiloride it blocks Na+ channels.

Hemiballismus(belly dance like movement) is due to lesion of C/L sub-thalamic nuclei. Cause is bleeding and Risk factor is HTN.

Postural hypertension is the earliest feature of autonomic neuropathy.

Tyramine preservative ( a lady presented with hypertension, headache, tachycardia, she said it happens after eating cheese, she is taking MOA inhibitors, dx is she is having cheese reaction because of the tyramine preservative present in cheese

A diabetic pt is diagnosed with hypertension what will be the best drug to control the blood pressure, the drug of choice is ACE Inhibitors but if pt develop cough from ACE Inhibitors shift to ARB's (sartan).