Mer Scott
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PHCY310 Quiz on L27 Therapeutics of Hypertension, created by Mer Scott on 14/04/2019.

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L27 Therapeutics of Hypertension

Question 1 of 5

1

Hypertension is very common, with a prevalence % in adults. It is more common with age, Maori and PI ethnicity, in younger men, older women, in the obese, those with a lifestyle, high fat/salt/sugar diet, and caffeine/nicotine/alcohol intake. There is a % mortality in patients with uncontrolled hypertension.

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    22
    10
    sedentary

Explanation

Question 2 of 5

1

Stage one (mild) hypertension: a clinic BP measurement of ≥ mmHg, or an average daytime ambulatory BP of ≥ mmHg.
Stage two (moderate) hypertension: a clinic BP of ≥ mmHg, or an average daytime ambulatory BP of ≥ mmHg.
Severe hypertension: a systolic pressure of ≥ mmHg, or a diastolic pressure of ≥ mmHg.

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    140/90
    135/85
    160/100
    150/95
    180
    110

Explanation

Question 3 of 5

1

Principles of HTN treatment include lifestyle changes, to cause vasodilation, to assess () 5-year cardiovascular risk, and to modify/reduce CV risks.
Goals of treatment:
- Prevent, or the progress, of organ and complications
- Provide treatment in terms of dose, dosing schedule, combination therapy, and adverse effects
- Optimise
Target BP is < mmHg for most people, < mmHg for patients with chronic kidney disease (CKD), diabetes, or established cardiovascular disease.

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    drugs
    calculate
    damage
    slow
    optimal
    adherence
    140/90
    130/80

Explanation

Question 4 of 5

1

Which of these is not a non-pharmacological treatment for HTN?

Select one of the following:

  • Smoking cessation

  • Moderation of alcohol consumption

  • Regular physical activity

  • Weight reduction in overweight or obese individuals

  • Low-fat diet, high in vegetables and fruits

  • Dietary sodium restriction

  • Dietary iron restriction

Explanation

Question 5 of 5

1

Treatment steps:
- Start with . Use if contraindicated or if ACEI causes cough.
- Add a to ACEI or ARB.
- Add a

In diabetics: ACEI is first line as it’s .
In IHD or AF patients: include a beta-blocker early as it's
In HF patients: include a dose beta-blocker
Check and effects at each step.

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    ACEI
    ARB or CCB
    CCB
    thiazide diuretic
    reno-protective
    cardio-protective
    low
    adherence
    adverse

Explanation