ABFM + KSA
HYPERTENSION
Certification Exam
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,1. A 39-year-old male sees you for evaluation of high blood pressure.
His past medical history is unremarkable. On examination he has a
BMI of 32 kg/m2 and you note that he has a round face and a plethoric
complexion. His blood pressure is 150/98 mm Hg, his pulse rate is 88
beats/min, and his respiratory rate is 16/min. Other notable findings
include a prominent dorsal cervical fat pad and supraclavicular fat
pads, as well as violaceous striae on his trunk. Laboratory findings
are notable only for a fasting glucose level of 114 mg/dL. Which one
of the following is the most likely cause of his hypertension?
A. Addison's disease
B. Cushing syndrome
C. Hemochromatosis
D. Pheochromocytoma
E. Primary hyperaldosteronism
**Answer: B**
**Rationale:**
This patient's clinical findings are consistent with Cushing syndrome, or
hyperadrenocorticism. This is a clinical syndrome and metabolic disorder
resulting from chronic excess of glucocorticoids. The most common cause
is corticosteroid use, but adrenal neoplasms account for 20%-25% of
cases. Findings include general weakness, osteoporosis, moon facies,
facial plethora, ecchymoses, truncal obesity, violaceous striae of the
abdomen, deposition of adipose tissue in the interscapular area ("buffalo
hump"), and glucose intolerance.
---
,2. You diagnose stage 2 hypertension in a 54-year-old male. His past
medical history is otherwise unremarkable and a physical
examination is notable for mild AV nicking on funduscopic
examination. A baseline EKG reveals evidence of left ventricular
hypertrophy. Which one of the following classes of antihypertensive
agents has NOT been shown to produce a regression of left
ventricular hypertrophy?
A. ACE inhibitors
B. β-Blockers
C. Calcium channel blockers
D. Direct vasodilators
E. Thiazide diuretics
**Answer: D**
**Rationale:**
In patients with left ventricular hypertrophy, studies have shown a reduction
in left ventricular mass in those treated with ACE inhibitors, diuretics,
calcium channel blockers, and β-blockers, with the most consistent
reduction achieved with ACE inhibitors and the least with β-blockers.
Regression of left ventricular hypertrophy has not been demonstrated with
direct vasodilators such as hydralazine and minoxidil.
---
, 3. According to currently accepted criteria, hypertension in children is
defined as repeated blood pressure measurements at or above a
threshold of which one of the following percentiles for age, sex, and
height?
A. 80th
B. 85th
C. 90th
D. 95th
E. 99th
**Answer: D**
**Rationale:**
In children and adolescents, hypertension is defined as blood pressure at
or above the 95th percentile for age, sex, and height, on repeated
measurements.
---
4. Which one of the following conditions is associated with isolated
systolic hypertension?
A. Aortic stenosis
B. Hypothyroidism
C. Paget's disease
HYPERTENSION
Certification Exam
Actual Questions and Answers
100% Guarantee Pass.
This Exam contains:
100% Guarantee Pass.
Actual Questions and Answers
Multiple choice (single best answer)
Case Studies/Scenario-Based Questions
Verified Rationales
,1. A 39-year-old male sees you for evaluation of high blood pressure.
His past medical history is unremarkable. On examination he has a
BMI of 32 kg/m2 and you note that he has a round face and a plethoric
complexion. His blood pressure is 150/98 mm Hg, his pulse rate is 88
beats/min, and his respiratory rate is 16/min. Other notable findings
include a prominent dorsal cervical fat pad and supraclavicular fat
pads, as well as violaceous striae on his trunk. Laboratory findings
are notable only for a fasting glucose level of 114 mg/dL. Which one
of the following is the most likely cause of his hypertension?
A. Addison's disease
B. Cushing syndrome
C. Hemochromatosis
D. Pheochromocytoma
E. Primary hyperaldosteronism
**Answer: B**
**Rationale:**
This patient's clinical findings are consistent with Cushing syndrome, or
hyperadrenocorticism. This is a clinical syndrome and metabolic disorder
resulting from chronic excess of glucocorticoids. The most common cause
is corticosteroid use, but adrenal neoplasms account for 20%-25% of
cases. Findings include general weakness, osteoporosis, moon facies,
facial plethora, ecchymoses, truncal obesity, violaceous striae of the
abdomen, deposition of adipose tissue in the interscapular area ("buffalo
hump"), and glucose intolerance.
---
,2. You diagnose stage 2 hypertension in a 54-year-old male. His past
medical history is otherwise unremarkable and a physical
examination is notable for mild AV nicking on funduscopic
examination. A baseline EKG reveals evidence of left ventricular
hypertrophy. Which one of the following classes of antihypertensive
agents has NOT been shown to produce a regression of left
ventricular hypertrophy?
A. ACE inhibitors
B. β-Blockers
C. Calcium channel blockers
D. Direct vasodilators
E. Thiazide diuretics
**Answer: D**
**Rationale:**
In patients with left ventricular hypertrophy, studies have shown a reduction
in left ventricular mass in those treated with ACE inhibitors, diuretics,
calcium channel blockers, and β-blockers, with the most consistent
reduction achieved with ACE inhibitors and the least with β-blockers.
Regression of left ventricular hypertrophy has not been demonstrated with
direct vasodilators such as hydralazine and minoxidil.
---
, 3. According to currently accepted criteria, hypertension in children is
defined as repeated blood pressure measurements at or above a
threshold of which one of the following percentiles for age, sex, and
height?
A. 80th
B. 85th
C. 90th
D. 95th
E. 99th
**Answer: D**
**Rationale:**
In children and adolescents, hypertension is defined as blood pressure at
or above the 95th percentile for age, sex, and height, on repeated
measurements.
---
4. Which one of the following conditions is associated with isolated
systolic hypertension?
A. Aortic stenosis
B. Hypothyroidism
C. Paget's disease
