AHN 573 Cardiovascular Exam Questions Answers

AHN 573 Cardiovascular Exam – Questions & Answers Treatment for HTN with Stable Ischemic Heart Disease? Correct Ans - Beta Blocker or ACE or ARB Treatment for HTN with Stable Ischemic Heart Disease if goal is NOT met with BB, ACE, or ARB?Angina is present. Correct Ans - Dihydropyridine CCB -amlodipine or nifidipine Treatment for HTN with Stable Ischemic Heart Disease if goal is NOT met with BB, ACE, or ARB?Angina is NOT present Correct Ans - Dihydropyridine CCB -amlodipine or nifidipine Thiazide diuretic and/or MRAs as needed Treatment for HTN with Heart Failure (HFrEF) Correct Ans - GMDT <

130/80

Treatment for HTN with Heart Failure (HFpEF) with FVO Correct Ans - Loop Diuretics Treatment for HTN with Heart Failure (HFpEF) w/o FVO Correct Ans - ACEI or ARB plus a BB Contraindication for the treatment of HTN with HF? Correct Ans - Nondihydropyridine CCB

• Diltiazem or Verapamil

Treatment for HTN with CKD Correct Ans - ACEI - to slow kidney disease progression Treatment for HTN with CKD if patient cannot tolerated ACEI Correct Ans

• ARBs

Treatment for HTN with DM Correct Ans - All 1st line agents are effective 1 / 3

Treatment fir HTN with DM with the presence of Albuminuria? Correct Ans - ACE-I or ARBs Treatment of HTN in African American's with DM (without HF or CKD) Correct Ans - Thiazide diuretic or CCB Treatment of HTN in pregnancy Correct Ans - Methyldopa, Labetalol or Nifedipine.Contraindication in the treatment of HTN in pregnancy Correct Ans - ACE-I/ARB or Direct Renin Inhibitor Elevated BP Correct Ans - SBP 120-129 AND DBP <80 HTN Stage 1 and Treatment ASCVD or 10-year risk >/= 10 Correct Ans - SBP 130-139 or DBP 80-89 (Initiate 1 BP med HTN Stage 2 Range and Treatment ASCVD or 10-year risk >/= 10 Correct Ans - SBP >/=140 DBP >/=90 Two 1st line agents of different classes Primary "Essential" HTN Correct Ans - 95% unknown etiology genetic, environmental, modifiable or nonmodifiable Headaches, dizziness, epistaxis Secondary HTN Correct Ans - 5% renal parenchymal renovascular primary aldosteronism OSA Drug or ETOH abuse HTN urgency Correct Ans - Severe HTN SBP >/= 220 DBP>125 End organ injury 2 / 3

Must be lowered within hours Parental medications not required HTN Emergency Correct Ans - Life threatening HTN DBP>135 End Organ Injury Must be lowered by 25 % in 1 hour Adverse Effects Thiazide Diuretics - HCTZ Correct Ans - Decreased K, Mg, Na Increased Ca, Uric Acid, Glucose, LDL, TG Rash ED Adverse Effects Loop Diuretics - Lasix Correct Ans - Excessive diuresis and electrolyte imbalance Adverse Effects Aldosterone Receptor Blockers -Aldactone -Amiloride -Eplerenone Correct Ans - Hyperkalemia Metabolic Acidosis Gynecomastia Adverse Effects Calcium Channel Blockers Dihydropyridines -Norvasc -nifedipine Correct Ans - edema, dizziness, palpitations, flushing, headache, hypotension, tachycardia, GI upset, urinary frequency Adverse Effects Calcium Channel Blockers Nondihydropyridines -Diltiazem -Verapamil Correct Ans - edema, dizziness, headache, AVB, HF, GI upset, urinary frequency

• / 3