Hypertension Basics
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Questions and Answers

The S1 heart sound corresponds to which cardiac event?

  • Opening of the mitral and tricuspid valves.
  • Closure of the mitral and tricuspid valves. (correct)
  • Opening of the aortic and pulmonic valves.
  • Closure of the aortic and pulmonic valves.

A patient with hypertension reports leg cramps. Which antihypertensive medication is most likely contributing to this side effect?

  • ACE Inhibitor
  • Thiazide Diuretic (correct)
  • Beta Blocker
  • Calcium Channel Blocker

A 62-year-old patient with a blood pressure of 150/80 mmHg is concerned about needing a higher dose of medication. What is the MOST appropriate initial action?

  • Reassess blood pressure with multiple readings and evaluate adherence to current treatment. (correct)
  • Prescribe an additional antihypertensive medication.
  • Immediately increase the dosage of their current medication.
  • Advise the patient to monitor blood pressure at home for one week and report back.

What is generally considered a first-line medication for treating hypertension, particularly in patients without compelling comorbidities?

<p>ACE inhibitor or ARB (B)</p> Signup and view all the answers

A patient's blood pressure consistently measures 160/95 mmHg. Which lifestyle modification would have the MOST significant impact on reducing blood pressure?

<p>Adopting the DASH diet and reducing sodium intake (D)</p> Signup and view all the answers

A patient taking a thiazide diuretic for hypertension should be monitored for which electrolyte imbalance?

<p>Hypokalemia (D)</p> Signup and view all the answers

Which class of antihypertensive medications is contraindicated in pregnant women due to the risk of fetal harm?

<p>ACE inhibitors/ARBs (A)</p> Signup and view all the answers

A patient with hypertension also has a history of asthma. Which antihypertensive medication should be used with caution?

<p>Non-selective beta-blockers (D)</p> Signup and view all the answers

A patient is prescribed an ACE inhibitor and develops a persistent, dry cough. What is the MOST appropriate next step?

<p>Discontinue the ACE inhibitor and switch to an ARB. (D)</p> Signup and view all the answers

What is the blood pressure target for most adults with hypertension, according to current guidelines?

<p>Less than 130/80 mmHg (A)</p> Signup and view all the answers

Flashcards

What is S1?

The first heart sound, caused by the closing of the mitral and tricuspid valves at the start of systole.

Diuretic induced leg cramps

Diuretics like hydrochlorothiazide can cause electrolyte imbalances (such as low potassium) which lead to muscle cramps.

BP 150/80, medication increase?

The blood pressure is elevated (Stage 1 Hypertension). The medication may need adjusting, but other factors also need assessment, such as lifestyle and adherence to medication.

First-line hypertension medication?

Thiazide diuretics are often a first-line treatment for hypertension.

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Study Notes

  • S1 is the first heart sound.
  • Leg cramps in a patient with hypertension could be caused by diuretics.
  • A blood pressure reading of 150/80 indicates Stage 2 hypertension.
  • The medication may need to be increased.
  • Thiazide diuretics are a first-line medication for hypertension treatment.

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Description

Overview of hypertension, including the first heart sound, potential causes of leg cramps in hypertensive patients, and blood pressure readings indicative of Stage 2 hypertension. Includes information about medication adjustments and first-line treatments.

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