EXAM HYPERTENSION AND TYPE 2
DIABETES UPDATED COMPREHENSIVE
SCRIPT 2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
⩥ What are the signs of target organ damage in hypertensive
emergencies? Answer: Blurred vision, chest pain, confusion, headache,
dyspnea, nausea/vomiting, epistaxis, seizures.
⩥ What is intermittent claudication? Answer: Pain with walking, which
can occur ***********, thigh, or calf depending on the affected artery.
⩥ What are common skin changes associated with PAD? Answer: Skin
may appear thin, shiny, and taut, with loss of hair on legs, feet, and toes.
⩥ What does elevational pallor and dependent rubor indicate? Answer:
Elevational pallor occurs when legs are elevated, and dependent rubor is
the pink color that appears when feet are dangling.
⩥ What are the clinical manifestations of critical limb ischemia?
Answer: Chronic ischemic rest pain lasting over 2 weeks, non-healing
arterial leg ulcers, or gangrene.
, ⩥ What are the characteristics of an arterial ulcer? Answer: Located at
the tips of toes, foot, and lateral malleolus; rounded, smooth margins;
minimal drainage; black eschar or pale pink granulation.
⩥ What are the characteristics of a venous ulcer? Answer: Located at the
medial malleolus and tibia; irregularly shaped margins; moderate to
large drainage; yellow slough or dark red granulation.
⩥ What is the purpose of the ankle-brachial index (ABI)? Answer: To
assess blood flow by comparing the ankle systolic BP to the higher
brachial SBP.
⩥ What lifestyle modifications can reduce risk factors for PAD? Answer:
Quitting tobacco, managing hypertension and diabetes, and maintaining
a healthy BMI.
⩥ What are the 6 P's of acute arterial ischemia? Answer: Pain, pallor,
pulselessness, paresthesia, paralysis, and poikilothermia.
⩥ What is thromboangiitis obliterans, also known as Buerger's disease?
Answer: A non-atherosclerotic inflammatory disease affecting small and
medium arteries and veins, primarily in males under 45.