2025 Actual Exam from Credible Source with 320
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2017 ACC/AHA guidelines: 10 yr risk < 10% and SBP ≥ 140/90 - CORRECT ANSWER:
use BP lowering meds
2017 ACC/AHA guidelines: black adults with HTN, no HF or CKD - CORRECT
ANSWER: initiate therapy with thiazide diuretic or CCB
2017 ACC/AHA guidelines: clinical CVD and BP ≥ 130 / ≥ 80 - CORRECT ANSWER:
use BP lowering meds
2017 ACC/AHA guidelines: drugs contraindicated in pregnant women - CORRECT
ANSWER: - ACE
- ARBs
- direct renin inhibitors
2017 ACC/AHA guidelines: elevated BP - CORRECT ANSWER: 120-129/ <80
2017 ACC/AHA guidelines: elevated BP reassessment - CORRECT ANSWER: 3-6
months
2017 ACC/AHA guidelines: first line agents - CORRECT ANSWER: - thiazide diuretics
- CCBs
- ACE
- ARBs
,2017 ACC/AHA guidelines: HTN reassessment for new or adjusted drug regimen -
CORRECT ANSWER: follow up at monthly intervals until control is sustained
2017 ACC/AHA guidelines: hypertensive crisis - CORRECT ANSWER: > 180/120
admit to ICU if target organ damage
2017 ACC/AHA guidelines: hypertensive URGENCY - CORRECT ANSWER: - elevated
BP without current organ damage
- happens when patients stop taking their meds
- doesn't require a rapid decrease
- check proteinuria and BMP
- one week follow up
2017 ACC/AHA guidelines: initiation of drug therapy in stage 1 HTN - CORRECT
ANSWER: initiate therapy with a single drug
2017 ACC/AHA guidelines: initiation of drug therapy in stage 2 HTN - CORRECT
ANSWER: initiate drug therapy with 2 first line medications of different classes as
separate agents or combo drug
2017 ACC/AHA guidelines: no CVD and ASCVD risk < 10% BP threshold - CORRECT
ANSWER: ≥ 140/90
2017 ACC/AHA guidelines: normal BP - CORRECT ANSWER: <120 / <80
2017 ACC/AHA guidelines: normal BP reassessment - CORRECT ANSWER: yearly
2017 ACC/AHA guidelines: pregnant or planning pregnancy safe drug choice -
CORRECT ANSWER: - methyldopa
- nifedipine
- labetalol
,2017 ACC/AHA guidelines: primary prevention in adults 10 yr ASCVD risk of ≥ 10% -
CORRECT ANSWER: use BP lowering meds
2017 ACC/AHA guidelines: secondary stroke prevention BP threshold - CORRECT
ANSWER: ≥ 140/90
2017 ACC/AHA guidelines: stage 1 HTN - CORRECT ANSWER: 130--89
2017 ACC/AHA guidelines: stage 1 HTN reassessment and 10 yr ASCVD < 10% -
CORRECT ANSWER: 3-6 months
2017 ACC/AHA guidelines: stage 1 HTN reassessment and 10 yr ASCVD > 10% -
CORRECT ANSWER: one month until BP goal met, then 3-6 months
2017 ACC/AHA guidelines: stage 2 HTN - CORRECT ANSWER: ≥ 140/ ≥ 90
2017 ACC/AHA guidelines: stage 2 HTN reassessment - CORRECT ANSWER: one
month until goal BP met, then 3-6 months
2017 ACC/AHA vs JNC 8 older community dwelling adults ≥ 65 yo - CORRECT
ANSWER: - JNC 8 treat BP if > 150/90
- 2017 treat if SBP ≥ 130
A renal ultrasound is ordered for HTN when - CORRECT ANSWER: - persistent HTN >
8yo
After smoking cessation has started, when is nicotine replacement initiated? -
CORRECT ANSWER: on the quit date
All children with persistent BP should have these labs - CORRECT ANSWER: - BUN
, - creatinine
- electrolytes
- UA +/- urine culture
- CBC
- renal US > 8yo
- fasting lipids
- glucose
As little as __________ weight loss can reduce or eliminate comorbidities - CORRECT
ANSWER: 5%
Can a pediatric patient with stage 2 HTN be approved for sports? - CORRECT
ANSWER: anyone with stage 2 HTN cannot be approved until the BP is under control
Cervical cancer screening interval age 21-29 yo - CORRECT ANSWER: every 3 years
PAP
Cervical cancer screening interval age 30-65 yo - CORRECT ANSWER: - every 3 years
PAP
- every 5 years PAP and HPV
Clinical evidence for Accelerated HTN - CORRECT ANSWER: - severe arteriosclerosis
- grade 3 or 4 hypertensive retinopathy
- renal insufficiency for which there is no apparent cause
- prognosis if untreated poor
Consider switching to this drug if HCTZ isn't working for HTN - CORRECT ANSWER:
clorthalidone
Define adolescent HTN - CORRECT ANSWER: - 13 yo and up