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PNN Hypertension (HTN) Chapter 2, Part 1, CPJE Exam Questions & Answers (Grade A+)2026.docx

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PNN Hypertension (HTN) Chapter 2, Part 1, CPJE Exam Questions & Answers (Grade A+)

Institution
CPJE PNN
Course
CPJE PNN

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PNN Hypertension (HTN) Chapter 2,
Part 1, CPJE Exam Questions &
Answers (Grade A+)2026
What is elevated BP according to the AHA / ACC Classification /
Guidelines? -
correct answer ✅SBP 120-129 & DBP < 80


What values indicated HTN Stage 1? -
correct answer ✅SBP 130-139 or DBP 80-89


What values indicated HTN Stage 2? -
correct answer ✅SBP ≥ 140 or DBP ≥ 90


What is the course of treatment for a patient with HTN Stage 1 and
a 10-year CVD risk of less than 10%? -
correct answer ✅Lifestyle changes & reassess in 3-6 months


What is the course of treatment for a patient with HTN Stage 1 and
10-year CVD risk greater than 10%? -
correct answer ✅Lifestyle changes & medication with monthly
follow-up until BP is controlled

,PNN Hypertension (HTN) Chapter 2,
Part 1, CPJE Exam Questions &
Answers (Grade A+)2026
What is the BP goal for the general population with HTN? (AHA /
ACC guidelines) -
correct answer ✅< 130 / < 80 mmHg


What is the BP goal for patients who have DM and HTN? (AHA /
ACC guidelines) -
correct answer ✅< 130 / < 80 mmHg; Treatment should be
initiated at BP ≥ mmHg with a treatment goal of < 130/80
mmHg. All first-line classes of antihypertensive agents are effective.
ACE inhibitors or ARBs may be considered in the presence of
albuminuria


What is the AHA / ACC recommendation for African American
adults with HTN but without HF or CKD? -
correct answer ✅Initial antihypertensive treatment should include
a THIAZIDE-type diuretic or CCB


What is the AHA / ACC recommendation for pregnant patients with
HTN? -
correct answer ✅DOCs: Methyldopa, Nifedipine, and/or Labetalol


Avoid ACEI, ARB, DRI

,PNN Hypertension (HTN) Chapter 2,
Part 1, CPJE Exam Questions &
Answers (Grade A+)2026

Cardiovascular Risk Factors -
correct answer ✅* HTN
* Smoking
* Dyslipidemia
* DM
* Microalbuminuria or GFR < 60 mL/min
* Age (> 55 males or > 65 females)
* Family history (Women < 65 or Men < 55)
* Obesity
* Physical inactivity


Location & MOA of Diuretics -
correct answer ✅1) Carbonic anhydrase (Acetazolamide = Diamox)
works on PCT


2) Loops (Thick Ascending Limb of the loop of Henle)


3) Thiazides (Distal convoluted tubule (DCT)

, PNN Hypertension (HTN) Chapter 2,
Part 1, CPJE Exam Questions &
Answers (Grade A+)2026

4) Conivaptan (Vaprisol) - Collecting duct & tubules


Medications that can ↑ BP -
correct answer ✅* Estrogen: Oral Contraceptives (SERM)
* Corticosteroids, NSAIDs / COX-2 Inhibitors cause edema and ↑ BP
* All adrenergics: beta-agonists, sympathomimetic appetite
suppressants
* SNRIs: Increase NorEpi: Effexor (Venlafaxine), Pristiq
(Desvenlafaxine), Cymbalta (Duloxetine), Savella (Milnacipran)
* Migraine meds are vasoconstrictors: Triptans & Ergots
* ADHD: amphetamines
* OTC / Herbs: Ephedra, Ma Huang, Licorice, Bitter orange,
Decongestants (Pseudoephedrine), Yohimbine
* Others: Epogen, Tacrolimus (Prograf), Cyclosporine


Antihypertensive in Patients with CAD (Coronary Artery Disease) -
correct answer ✅* Goal of < 130/80 mmHg (AHA/ACC)
* Beta-blockers & ACEI/ARB
* BB: Use first-line (Recommend BB for patients with CAD)

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