Hypertension PANCE review ACTUAL QUESTIONS AND CORRECT ANSWERS

Hypertension PANCE review ACTUAL
QUESTIONS AND CORRECT ANSWERS
Prehypertenstion - Correct answers✔SBP=120-139mmHg

DBP=80-89mmmHg



Hypertension Diagnosis - Correct answers✔>140/90

AHA Recommendations: unless profoundly elevated or symptomatic, do not dx on 1st vist

Dx after >3 readings spaced over weeks to months

1 in 3 who appear to have mild HTN actually do not



USPSTF Recommendations: Dx after 2 or more readings spaced over a period of 1 to several
weeks



Accurate Blood Pressure Measurement - Correct answers✔Pt seated quietly for 5 minutes,
Appropriate size cuff: bladder 40-80% of the upper arm circumference, Inflate 20-30mmHg
above loss of radial pulse, deflate at ~2mmHg per second

1st sound is Systolic Pressure

Disappearance of Korotkoff sound is Diastolic Pressure



Recommendation 1 - Correct answers✔Drug Tx initiation in the population *60 and up*

SBP >/= 150 OR DBP >/= 90

Treat to a goal in the general population 60 and up:

SBP <150 AND DBP < 90



Recommendations 2 & 3 - Correct answers✔Drug Tx initiation in the population *under 60*:

, SBP >140 OR DBP >90

Treat to a goal in the general population under 60:

SBP <140 AND DBP <90



Recommendation 4 - Correct answers✔Drug Tx initiation in the population *aged 18+ with
CKD*:

SBP >140 OR DBP >90

Treat to a goal in the CKD population over 18:

SBP <140 AND DBP <90



Recommendation 5 - Correct answers✔Drug Tx initiation in the population *aged 18+ with
DM*:

SBP >140 OR DBP >90

Treat to a goal in the DM population over 18:

SBP <140 AND DBP <90



Recommendation 6 - Correct answers✔In the general *nonblack* population, including those
with DM, initial treatment should include:

Thiazide-type diuretic

Or

Calcium Channel Blocker

Or

Angiotensin-converting enzyme inhibitor (ACEi)

Or

Angiotensin receptor blocker (ARB)