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L27 Therapeutics of Hypertension

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Preguntas del test (5)

  1. 1Hypertension is very common, with a prevalence [blank_start]22[blank_end]% in adults. It is more common with age, Maori and PI ethnicity, in younger men, older women, in the obese, those with a [blank_start]sedentary[blank_end] lifestyle, high fat/salt/sugar diet, and caffeine/nicotine/alcohol intake. There is a [blank_start]10[blank_end]% mortality in patients with uncontrolled hypertension.
    1. A22
    2. B10
    3. Csedentary
  2. 2Stage one (mild) hypertension: a clinic BP measurement of ≥[blank_start]140/90[blank_end] mmHg, or an average daytime ambulatory BP of ≥[blank_start]135/85[blank_end] mmHg.
    Stage two (moderate) hypertension: a clinic BP of ≥[blank_start]160/100[blank_end] mmHg, or an average daytime ambulatory BP of ≥[blank_start]150/95[blank_end] mmHg.
    Severe hypertension: a systolic pressure of ≥[blank_start]180[blank_end] mmHg, or a diastolic pressure of ≥[blank_start]110[blank_end] mmHg.
    1. A140/90
    2. B135/85
    3. C160/100
    4. D150/95
    5. E180
    6. F110
  3. 3Principles of HTN treatment include lifestyle changes, [blank_start]drugs[blank_end] to cause vasodilation, to assess ([blank_start]calculate[blank_end]) 5-year cardiovascular risk, and to modify/reduce CV risks.
    Goals of treatment:
    - Prevent, or [blank_start]slow[blank_end] the progress, of organ [blank_start]damage[blank_end] and complications
    - Provide [blank_start]optimal[blank_end] treatment in terms of dose, dosing schedule, combination therapy, and adverse effects
    - Optimise [blank_start]adherence[blank_end]
    Target BP is < [blank_start]140/90[blank_end] mmHg for most people, < [blank_start]130/80[blank_end] mmHg for patients with chronic kidney disease (CKD), diabetes, or established cardiovascular disease.
    1. Adrugs
    2. Bcalculate
    3. Cdamage
    4. Dslow
    5. Eoptimal
    6. Fadherence
    7. G140/90
    8. H130/80
  4. 4Which of these is not a non-pharmacological treatment for HTN?
    1. ASmoking cessation
    2. BModeration of alcohol consumption
    3. CRegular physical activity
    4. DWeight reduction in overweight or obese individuals
    5. ELow-fat diet, high in vegetables and fruits
    6. FDietary sodium restriction
    7. GDietary iron restriction
  5. 5Treatment steps:
    - Start with [blank_start]ACEI[blank_end]. Use [blank_start]ARB, or CCB[blank_end] if contraindicated or if ACEI causes cough.
    - Add a [blank_start]CCB[blank_end] to ACEI or ARB.
    - Add a [blank_start]thiazide diuretic[blank_end]

    In diabetics: ACEI is first line as it’s [blank_start]reno-protective[blank_end].
    In IHD or AF patients: include a beta-blocker early as it's [blank_start]cardio-protective[blank_end]
    In HF patients: include a [blank_start]low[blank_end] dose beta-blocker
    Check [blank_start]adherence[blank_end] and [blank_start]adverse[blank_end] effects at each step.
    1. AACEI
    2. BARB or CCB
    3. CCCB
    4. Dthiazide diuretic
    5. Ereno-protective
    6. Fcardio-protective
    7. Glow
    8. Hadherence
    9. Iadverse

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El usuario ha eliminado su información de asignaturas Test sobre L27 Therapeutics of Hypertension, creado por Usuario eliminado el 14/04/2019.
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