QUESTIONS AND ANSWERS
(LATEST)
1. Which mechanism is responsible for primary hypertension?
A. Single gene mutation
B. Multifactorial interaction of genetics and environment
C. Infection
D. Trauma
Correct Answer: B
Rationale: Primary hypertension has no single cause; it results from
genetic predisposition combined with lifestyle and environmental
factors.
2. The most important long-term regulator of blood pressure is the:
A. Heart
B. Kidneys
C. Brain
D. Lungs
,Correct Answer: B
Rationale: The kidneys regulate blood volume and sodium balance,
making them central to long-term BP control.
3. Activation of the RAAS system results in:
A. Vasodilation
B. Sodium excretion
C. Vasoconstriction and fluid retention
D. Decreased blood pressure
Correct Answer: C
Rationale: RAAS increases blood pressure via vasoconstriction and
sodium/water retention.
4. ACE inhibitors work by:
A. Increasing angiotensin II
B. Blocking conversion of angiotensin I to II
C. Increasing aldosterone
D. Stimulating renin
Correct Answer: B
Rationale: ACE inhibitors reduce angiotensin II, lowering BP and
decreasing aldosterone.
,5. A common side effect of ACE inhibitors is:
A. Bradycardia
B. Dry cough
C. Hypoglycemia
D. Weight gain
Correct Answer: B
Rationale: Accumulation of bradykinin causes the characteristic dry
cough.
6. Beta-blockers primarily:
A. Increase heart rate
B. Decrease heart rate and cardiac output
C. Increase BP
D. Dilate veins only
Correct Answer: B
Rationale: They block β-receptors, reducing HR and contractility.
7. Left-sided heart failure commonly leads to:
, A. Peripheral edema
B. Pulmonary congestion
C. Ascites
D. Hepatomegaly
Correct Answer: B
Rationale: Blood backs up into the lungs, causing congestion.
8. Right-sided heart failure leads to:
A. Pulmonary edema
B. Peripheral edema
C. Cough
D. Hypoxia only
Correct Answer: B
Rationale: Blood backs up into systemic circulation, causing edema.
9. BNP is elevated in:
A. Kidney disease
B. Heart failure
C. Liver failure
D. Infection