What is the recommended goal blood pressure according to the 2017 ACC/AHA guideline for most
patients?
patients?
Anonymous Quiz
18%
a) <120/80 mm Hg
8%
b) <140/90 mm H
72%
c) <130/80 mm Hg
1%
d) <150/100 mm Hg
1%
e) <160/110 mm Hg
❤1
What is the recommended dosage adjustment strategy for ACE inhibitors in patients with renal
insufficiency?
insufficiency?
Anonymous Quiz
4%
a) Increase dosage
7%
b) Discontinue therapy
10%
c) Maintain the same dosage
65%
d) Decrease dosage
14%
e) Switch to ARBs
Which antihypertensive drug class has the potential to cause gynecomastia in up to 10% of patients?
Anonymous Quiz
6%
a) Calcium channel blockers
2%
b) Thiazide diuretics
4%
c) Loop diuretics
9%
d) Angiotensin II receptor blockers
78%
e) Mineralocorticoid receptor antagonists
Which medication is recommended for the definitive treatment of preeclampsia?
Anonymous Quiz
9%
a) ACE inhibitors
3%
b) ARBs
4%
c) Loop diuretics
71%
d) Delivery
13%
e) β-blockers
❤1
Which calcium channel blocker has a negative inotropic effect that may precipitate heart failure in
patients with borderline cardiac reserve?
patients with borderline cardiac reserve?
Anonymous Quiz
8%
a) Amlodipine
4%
b) Nifedipine
77%
c) Verapamil
10%
d) Diltiazem
1%
e) Felodipine
What is the primary mechanism of action of ACE inhibitors in lowering blood pressure?
Anonymous Quiz
8%
a) Directly blocking the angiotensin II type 1 receptor
2%
b) Stimulating α2-adrenergic receptors in the brain
6%
c) Inhibiting catecholamine uptake in smooth muscle cells
83%
d) Blocking conversion of angiotensin I to angiotensin II
1%
e) Relaxing arteriolar smooth muscle
What is the recommended target diastolic blood pressure for patients with chronic hypertension
during pregnancy?
during pregnancy?
Anonymous Quiz
18%
a) <90 mm Hg
16%
b) <95 mm Hg
37%
c) <100 mm Hg
26%
d) <105 mm Hg
2%
e) <110 mm Hg
Which diuretic is preferred over hydrochlorothiazide, especially in resistant hypertension?
Anonymous Quiz
4%
a) Furosemide
0%
b) Bumetanide
91%
c) Chlorthalidone
1%
d) Torasemide
4%
e) Spironolactone
What is the primary mechanism of action of α1-receptor blockers in lowering blood pressure?
Anonymous Quiz
40%
a) Inhibiting catecholamine uptake in smooth muscle cells
6%
b) Blocking conversion of angiotensin I to angiotensin II
7%
c) Stimulating α2-adrenergic receptors in the brain
42%
d) Directly relaxing arteriolar smooth muscle
4%
e) Blocking the angiotensin II type 1 receptor
Which condition accounts for less than 10% of hypertension cases?
Anonymous Quiz
72%
a) Chronic kidney disease
6%
b) Ischemic heart disease
13%
c) Hyperthyroidism
7%
d) Diabetes mellitus
3%
e) Obesity
نسخة D , أول سؤال الدكتورة كالت بي خطأ مطبعي ، لذلك راح ابدي من السؤال الثاني
What is the primary mechanism of action of α1-receptor blockers in lowering blood pressure?
Anonymous Quiz
16%
a) Inhibiting catecholamine uptake in smooth muscle cells
5%
b) Blocking conversion of angiotensin I to angiotensin II
3%
c) Stimulating α2-adrenergic receptors in the brain
76%
d) Directly relaxing arteriolar smooth muscle
0%
e) Blocking the angiotensin II type 1 receptor
What is the preferred first-line antihypertensive therapy for older patients?
Anonymous Quiz
17%
a) Thiazide diuretics
8%
b) Loop diuretics
13%
c) Calcium channel blockers
61%
d) ACE inhibitors
2%
e) ARBs
❤1
In which population are calcium channel blockers and thiazides most effective as first-line agents?
Anonymous Quiz
5%
a) older persons
79%
b) Black patients
7%
c) Children and adolescents
2%
d) Pregnant women
8%
e) Patients with pulmonary disease
Which condition necessitates immediate blood pressure reduction with a parenteral agent?
Anonymous Quiz
17%
a) Hypertensive urgency
5%
b) Chronic hypertension
15%
c) Isolated systolic hypertension
57%
d) Hypertensive crisis
6%
e) Primary hypertension
Which of the following is NOT a presentation of ischemic heart disease (IHD)?
Anonymous Quiz
9%
A) Chronic stable exertional angina
4%
B) Acute coronary syndrome (ACS)
8%
C) Ischemia without symptoms
6%
D) Microvascular angina
73%
E) Hypertensive heart disease
Who is more likely to present with chest pain at rest, often early in the morning?
Anonymous Quiz
42%
A) Younger patients with diabetes mellitus
15%
B) Older patients with diabetes mellitus
2%
C) Older patients without diabetes mellitus
35%
D) Younger patients without diabetes mellitus
6%
E) None of the above
What is the first-line pharmacological treatment for acute chest pain in ischemic heart disease?
Anonymous Quiz
8%
A) Aspirin
16%
B) Beta-blockers
8%
C) Statins
4%
D) Calcium channel blockers
65%
E) Nitroglycerin
What is NOT typically elevated in stable ischemic heart disease (IHD)?
Anonymous Quiz
68%
A) Troponin concentrations
4%
B) C-reactive protein
9%
C) Myoglobin levels
16%
D) Creatine kinase-MB (CK-MB)
3%
E) None of the above