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    MCQ HTN

    Uploaded by

    mohamed mowafey
    This document contains 35 multiple choice questions related to hypertension. Some key points addressed include: - The definition of hypertension as a systolic blood pressure of 140 mmHg or higher and/or a diastolic blood pressure of 90 mmHg or higher. - Egypt has one of the highest prevalence rates of hypertension in the world, at approximately 26.3%. - Treatment and control rates for hypertension are much lower in Egypt compared to the United States. - Lifestyle modifications like weight loss, following the DASH diet, sodium restriction, and physical activity can all help to reduce high blood pressure. - Different drug classes are preferred for treating hypertension depending on other patient factors and medical conditions.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    MCQ HTN

    Uploaded by

    mohamed mowafey
    101 views18 pages
    This document contains 35 multiple choice questions related to hypertension. Some key points addressed include: - The definition of hypertension as a systolic blood pressure of 140 mmHg or higher and/or a diastolic blood pressure of 90 mmHg or higher. - Egypt has one of the highest prevalence rates of hypertension in the world, at approximately 26.3%. - Treatment and control rates for hypertension are much lower in Egypt compared to the United States. - Lifestyle modifications like weight loss, following the DASH diet, sodium restriction, and physical activity can all help to reduce high blood pressure. - Different drug classes are preferred for treating hypertension depending on other patient factors and medical conditions.

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    This document contains 35 multiple choice questions related to hypertension. Some key points addressed include: - The definition of hypertension as a systolic blood pressure of 140 mmHg or higher and/or a diastolic blood pressure of 90 mmHg or higher. - Egypt has one of the highest prevalence rates of hypertension in the world, at approximately 26.3%. - Treatment and control rates for hypertension are much lower in Egypt compared to the United States. - Lifestyle modifications like weight loss, following the DASH diet, sodium restriction, and physical activity can all help to reduce high blood pressure. - Different drug classes are preferred for treating hypertension depending on other patient factors and medical conditions.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    101 views18 pages

    MCQ HTN

    Uploaded by

    mohamed mowafey
    This document contains 35 multiple choice questions related to hypertension. Some key points addressed include: - The definition of hypertension as a systolic blood pressure of 140 mmHg or higher and/or a diastolic blood pressure of 90 mmHg or higher. - Egypt has one of the highest prevalence rates of hypertension in the world, at approximately 26.3%. - Treatment and control rates for hypertension are much lower in Egypt compared to the United States. - Lifestyle modifications like weight loss, following the DASH diet, sodium restriction, and physical activity can all help to reduce high blood pressure. - Different drug classes are preferred for treating hypertension depending on other patient factors and medical conditions.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 18

    MCQs

    1. Hypertension is defined as persistent elevation of arterial B.P:-


    a. ≥ 140/90 mmHg
    b. > 140/90 mmHg
    c. ≥ 120/ 80 mmHg
    d. >120/ 80 mmHg
    e. none of the above
    2-According to JNC-7 classification, if B.P. = 130/ 85 mmHg, it is classified as:
    f. Normal
    g. Prehypertension
    h. Stage I hypertension
    i. Stage II hypertension
    j. None of the above.
    3-Egypt has one of the highest prevalence rate of THNin the world, it is:-
    k. 23.6 %
    l. 62.3 %
    m.26.3 %
    n. 36.2 %
    o. None of the above.
    4-The rate of hypertension awareness in USA is 70 % while in Egypt it is :
    a-70 %
    b-77.5 %
    c-73.5 %
    d-37.5 %
    e-None of the above
    5- The rate of hypertension treatment in USA is 59 % while in Egypt it is:
    a- 59 %
    b- 95 %
    c- 23.9 %
    d- 8 %
    e- None of the above.
    6- The rate of hypertension control in USA is 34 % while in Egypt it is:
    a- 80 %
    b- 10 %
    c- 2 %
    e- 8 %
    f- None of the above.
    7-Which of the following is considered as CVD risk factor:
    a- Smoking.
    b- Dyslipidemia.
    c- Diabetes mellitus.
    d- All of the above.
    e- None of the above.
    8- Which of the following is considered as a cause & a complication
    of hypertension:
    a- Coarctation of Aorta.
    b- Chronic Kidney disease.
    c- Retinopathy.
    d- Thyriod disease.
    e-Heart failure.
    • 9- Which of the following is not a routine lab. test in hypertension:
    • a- Albumin/ Creatinine ratio.
    • b- Lipid profile.
    • c- ECG.
    • d- Urine analysis.
    • e- Hematocrit.
    • 10- The goal of therapy in hypertensive patient without DM or chronic
    kidney disease is to reduce B.P.:
    • a- <140/90 mmHg.
    • b- <130/80 mmHg.
    • c-<120/80 mmHg.
    • d- <160/100 mmHg.
    • e- None of the above.
    11- The goal of therapy in hypertensive patient with DM or chronic kidney
    disease is to reduce B.P.:
    a- <140/90 mmHg.
    b- <130/80 mmHg.
    c-<120/80 mmHg.
    d- <160/100 mmHg.
    e- None of the above.
    12- What is the first line pharmacologic therapy now recommended for most
    patients with hypertension?
    a- Beta blockers.
    b- Thiazide diuretic.
    c- Calcium channel blocker.
    d- ACE-I.
    e- None of the above
    13- What is the starting dosage of a thiazide diuretic in a patient
    with hypertension?
    a- 25 mg.
    b- 50 mg.
    c- 75 mg.
    d- 100 mg.
    e- 125 mg.
    14- What is the most common side effect of ACE-I?
    a- cough
    b- constipation
    • c- headache.
    • d- Skin rash
    • e- Depression.
    15- What is the most common side effect of propranolol?
    a- Cough.
    b- Constipation.
    c- Headache.
    d- Skin rash.
    e- Depression.
    16- The approximate proportion of 2ry hypertension is:
    a- 5-10 %.
    b- 1-15 %
    c- 15-20 %
    d- 25 %
    e- 35 %.
    17- Postural hypotension is defined as decrease in standing SBP:
    a- < 40 mmHg.
    b- <30 mmHg.
    c- <20 mmHg.
    d- <10 mmHg.
    e- None of the above.
    18- Methods of lifestyle modification to reduce high B.P.:
    a- Weight reduction.
    b- DASH diet.
    c- Na restriction.
    d- Physical activity.
    e- All of the above.
    19- The drug of choice for hypertension in diabetic patient is:
    a- Diuretic.
    b- ACE-I.
    c- CCB
    d- BB
    e-Alpha blocker
    20- The drug of choice for hypertension during pregnancy is:
    a- Methyl dopa.
    b- Hydralazine.
    c- ACE-I
    d- a & b.
    e- All of the above.
    21- The drug of choice for hypertension with IHD is:
    a- BB.
    b- CCB
    c- Alpha blocker
    d- a& b.
    e- All of the above
    22- Which of the following drugs is preferred for treatment of hypertension
    with osteoprosis?
    a- Thiazide diuretic
    b- ACE-I
    c- CCB
    d- BB
    e- Alpha blocker
    23- Which of the following drugs is preferred for treatment of hypertension
    with thyrotoxicosis?
    a- Thiazide diuretic
    b- ACE-I
    c- CCB
    d- BB
    e- Alpha blocker
    24- Which of the following drugs is preferred for treatment of
    hypertension with prosatism?
    a- Thiazide diuretic
    b- ACE-I
    c- CCB
    d- BB
    e- Alpha blocker
    25- the most common side effect of Alpha blocker is:
    a- Cough
    b- Constipation
    c- Headache.
    d- Skin rash
    e- Postural hypotension.
    26- Which of the following drugs is contraindicated in hypertension with
    pregnancy?
    a- Methyl dopa.
    b- Hydralazine.
    c- ACE-I
    d- a & b.
    e- All of the above.
    27- Which of the following drugs is contraindicated in hypertension with
    bronchial asthma?
    a- Thiazide diuretic
    b- ACE-I
    c- CCB
    D-BB
    e- Alpha blocker
    28- Which of the following drugs is contraindicated in hypertension with
    heart block?
    a- Thiazide diuretic
    b- ACE-I
    c- CCB
    d- BB
    e- Alpha blocker
    29- Which of the following drugs is contraindicated in hypertension with
    gout?
    a- Thiazide diuretic
    b- ACE-I
    c- CCB
    d- BB
    e- Alpha blocker
    30- To avoid severe hyperkalemia, which of the following combination is
    contraindicated:
    a- BB + Alpha blocker
    b- BB + thiazide diuretic
    c- ACE-I + K- sparing diuretic
    d- ACE-I + loop diuretic
    e- Verapamil + BB
    31-To avoid severe heart block, which of the following combination is
    contraindicated:
    a- BB + Alpha blocker
    b- BB + thiazide diuretic
    c- ACE-I + K- sparing diuretic
    d- ACE-I + loop diuretic
    e- Verapamil + BB
    32- the following is a cause of resistant hypertension?
    a- Improper BP measurement.
    b- Excess Na intake.
    c- 2ry hypertension.
    d- Inadequate doses.
    e- All of the above.
    33. You are seeing a 43-year-old hypertensive patient in your
    office. He is well-controlled with hydrochlorothiazide and is
    seeing you for a routine evaluation. His blood pressure at the
    visit is 118/76 mm Hg. Laboratory evaluation reveals a normal
    creatinine and a GFR greater than 90 mL/min, but he does have
    microalbuminuria. Which of the following interventions is
    indicated in this patient?
    a. Commend him on his excellent control and make no changes.
    b. Work to achieve better blood pressure control through diet
    and exercise.
    c. Increase his hydrochlorothiazide dose.
    d. Add an angiotensin-converting enzyme (ACE) inhibitor.
    e. Check a glycosolated hemoglobin level.
    34. You are following a 54-year-old patient with hypertension
    and diabetes in your office. Despite good blood pressure and
    glycemic control, his GFR has started to decrease. GFR
    measurement was 74 mL/min 3 months ago. At this visit, GFR is
    55 mL/min. Creatinine is within normal limits, and his serum
    potassium is 5.2 mmol/L (normal is up to 5.1 mmol/L). The
    patient denies any changes in urination or other problems, the
    following is most appropriate at this stage?
    a. See the patient more frequently, at least monthly.
    b. Increase his ACE inhibitor.
    c. Add diuretic therapy.
    d. Refer to a nephrologist.
    e. Refer to a transplant surgeon.
    35-the following statements about systolic hypertension is
    true?
    A) It represents relatively little risk to the patient.
    B) It is defined as a systolic pressure >140 mm Hg with a
    diastolic
    pressure >100 mm Hg.
    C) It does not increase the risk of stroke.
    D) It is often caused by mitral regurgitation.
    E) It is more dangerous to elderly patients than an elevated
    diastolic pressure.

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