Hypertension: Causes and Types

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Questions and Answers

What is the blood pressure reading that indicates hypertension?

  • 130/85 mm Hg
  • 150/95 mm Hg
  • 140/90 mm Hg (correct)
  • 120/80 mm Hg

What is the primary distinction between primary and secondary hypertension?

  • Presence of an underlying cause (correct)
  • Family history
  • Age of onset
  • Presence of symptoms

Which of the following is a risk factor for primary hypertension?

  • Diabetic nephropathy
  • Coarctation of the aorta
  • Obesity (correct)
  • Pregnancy

What is the primary goal of treating secondary hypertension?

<p>Managing underlying disease (C)</p> Signup and view all the answers

What is a potential complication of uncontrolled hypertension?

<p>Heart failure (B)</p> Signup and view all the answers

Which medication is commonly used to treat secondary hypertension?

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

At what blood pressure level should a hypertensive patient be referred to a GP?

<p>140/90mmHg (D)</p> Signup and view all the answers

What is the oral manifestation of ACE inhibitors?

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

What is the ideal LDL:HDL ratio?

<p>2.99:1 (B)</p> Signup and view all the answers

What is the role of HDL in atherosclerosis?

<p>Blocks oxidation of LDL (C)</p> Signup and view all the answers

What is the link between hypertension and atherosclerosis?

<p>The haemodynamic forces in hypertension cause damage to endothelial cells and facilitate the passage of LDL into intima (C)</p> Signup and view all the answers

What is the result of advanced atherosclerosis?

<p>Ischemia/infarction (C)</p> Signup and view all the answers

What is ischemic heart disease?

<p>A condition where there is an imbalance between demand and supply of blood to the heart (D)</p> Signup and view all the answers

What is a fixed risk factor for ischemic heart disease?

<p>Age (B)</p> Signup and view all the answers

What is a hard modifiable risk factor for ischemic heart disease?

<p>Hypertension (C)</p> Signup and view all the answers

What is a symptom of ischemic heart disease?

<p>Angina (C)</p> Signup and view all the answers

What is the primary purpose of taking aspirin in ischemic heart disease?

<p>To help prevent blood clots from forming in the arteries (D)</p> Signup and view all the answers

What is the main diagnosis for a patient with peripheral vascular disease who complains of central chest pain during a routine dental treatment?

<p>Angina that can lead to Ischemic Heart Disease or MI (B)</p> Signup and view all the answers

What is the term for the procedure that uses X-ray imaging to see the heart's blood vessels?

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

What should dentists do before treating a patient with ischemic heart disease?

<p>Take detailed history and record all medication (C)</p> Signup and view all the answers

What is the ideal time for scheduling appointments for patients with ischemic heart disease?

<p>Late morning (B)</p> Signup and view all the answers

What is the term for the death of tissue due to a lack of oxygen?

<p>Infarction (A)</p> Signup and view all the answers

What is the term for a temporary blockage of blood flow to the brain?

<p>Transient ischemic attack (D)</p> Signup and view all the answers

What is the purpose of giving GTN spray sublingually during an angina attack?

<p>To relieve anginal symptoms (B)</p> Signup and view all the answers

What should be done if a patient experiences unstable angina during treatment?

<p>Refer back to the doctor (B)</p> Signup and view all the answers

What is the term for the condition where the heart muscle does not receive enough oxygen due to a blockage in blood flow?

<p>Ischemia (B)</p> Signup and view all the answers

What is the primary mechanism leading to thrombosis in patients with Behcet's syndrome?

<p>Damage to vessel wall (D)</p> Signup and view all the answers

Which of the following is a prophylactic measure to prevent post-operative deep vein thrombosis?

<p>Identifying high-risk patients (D)</p> Signup and view all the answers

What is the primary difference between arterial and venous thrombosis?

<p>Venous thrombosis is a result of sluggish flow (D)</p> Signup and view all the answers

What is the result of changes in the constituents of the blood that can lead to thrombosis?

<p>Haemostatic equilibrium is tilted in favor of thrombosis (D)</p> Signup and view all the answers

What is the result of thrombosis progression?

<p>Embolisation (C)</p> Signup and view all the answers

What is a sign of left-sided heart failure?

<p>Pulmonary congestion (C)</p> Signup and view all the answers

What is the most common modifiable risk factor for IHD?

<p>Smoking (B)</p> Signup and view all the answers

What is the primary symptom of angina pectoris?

<p>Strangling feeling in the chest (C)</p> Signup and view all the answers

What is the ECG finding in an angina attack?

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

What is the effect of aspirin on the oral cavity?

<p>Bleeding tendency (A)</p> Signup and view all the answers

What is the difference between thrombosis and clotting?

<p>Thrombosis involves platelets and clotting cascade, while clotting is just the cascade (A)</p> Signup and view all the answers

What is the likely diagnosis of a painful and swollen calf following a period of bed rest post-operatively?

<p>Deep vein thrombosis (A)</p> Signup and view all the answers

What is Virchow's triad?

<p>Changes in the surface of the vessel, changes in the blood flow, and changes in the constituents of the blood (D)</p> Signup and view all the answers

What is deep vein thrombosis due to?

<p>Thrombus formation in the lower limb deep veins (B)</p> Signup and view all the answers

What is a common clinical feature of deep vein thrombosis?

<p>All of the above (D)</p> Signup and view all the answers

What is a risk factor for thrombo-embolism?

<p>All of the above (D)</p> Signup and view all the answers

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