HTN/PAH

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Questions and Answers

How is a definitive diagnosis of hypertension typically made?

  • Multiple elevated blood pressure readings over time (correct)
  • Based on a single measurement
  • By considering end-organ function only
  • By assessing anxiety levels

When should surgery be generally delayed for further cardiac evaluation based on blood pressure levels?

  • For any elevation in blood pressure above normal range
  • If systolic blood pressure is above 150 mm Hg
  • Only for patients with prehypertension
  • For marked hypertension (systolic > 180 mm Hg and/or diastolic > 110 mm Hg) (correct)

What additional considerations are important for patients with long-standing and/or poorly controlled hypertension?

  • Considering only systolic blood pressure
  • Taking into account vasculopathy and end-organ function (correct)
  • Monitoring anxiety levels
  • Assessing lung function

Which condition can be suspected if a patient presents with symptoms like flushing and sweating?

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

What is the normal pulmonary capillary wedge pressure (PCWP) value?

<p>Below 15 mm Hg (A)</p> Signup and view all the answers

Which group of Pulmonary Hypertension (PH) includes idiopathic cases with no identifiable risk factors?

<p>Group 1: Pulmonary arterial hypertension (PAH) (B)</p> Signup and view all the answers

What is the typical presentation of pericarditis following a myocardial infarction (MI)?

<p>Acute presentation 1-3 days after transmural MI (A)</p> Signup and view all the answers

What are the two main forms of relapsing pericarditis?

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

What is the typical treatment for acute pericarditis?

<p>Salicylates, NSAIDs, and corticosteroids (C)</p> Signup and view all the answers

When does a pericardial effusion result in cardiac tamponade?

<p>When the pressure in the pericardial space interferes with cardiac filling (B)</p> Signup and view all the answers

What is the normal range for the amount of fluid in the pericardial space?

<p>15-50 ml (D)</p> Signup and view all the answers

Which of the following is a risk factor for hypotension during surgery in hypertensive patients?

<p>Decreased cerebral autoregulation (C)</p> Signup and view all the answers

What is the recommended approach for antihypertensive medications on the day of surgery?

<p>Take antihypertensive medications as usual (D)</p> Signup and view all the answers

Which class of antihypertensive drugs should be continued without interruption, according to the text?

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

What is a potential concern with discontinuing diuretics on the day of surgery?

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

According to the table, which group had the lowest incidence of perioperative hypertensive episodes?

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

What is the main goal during the maintenance phase of anesthesia for a patient with hypertension?

<p>Minimize wide swings in blood pressure (D)</p> Signup and view all the answers

Which of the following is NOT a factor that can contribute to postoperative hypertension?

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

What is the definition of pulmonary arterial hypertension (PAH)?

<p>Mean PA pressure &gt; 25 mmHg at rest (D)</p> Signup and view all the answers

What is not a characteristic of constrictive pericarditis?

<p>Increased ventricular preload (D)</p> Signup and view all the answers

What is the primary goal of anesthetic management in patients with constrictive pericarditis?

<p>Maintain heart rate, contractility, and venous return (B)</p> Signup and view all the answers

What is the primary mechanism of commotio cordis?

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

What is the primary factor contributing to essential hypertension?

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

Which of the following is a key consideration in the anesthetic management of cardiac contusion?

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

What is the primary treatment for commotio cordis?

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

What is the recommended treatment goal for blood pressure in patients with coexisting diseases?

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

What is the definition of resistant hypertension?

<p>Uncontrolled hypertension despite three or more antihypertensive drugs of different classes (D)</p> Signup and view all the answers

Which of the following is NOT mentioned as a risk factor for essential hypertension?

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

What was the finding of a study that looked at patients with apparent treatment-resistant hypertension who were 'taking' 3-5 antihypertensive drugs?

<p>25% of patients had no detectable drug in their system (B)</p> Signup and view all the answers

What is the recommended first approach for treating essential hypertension in patients without associated risk factors or evidence of end-organ damage?

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

Stripping of the pericardium, which may be closely adherent to the myocardium, is the treatment for constrictive pericarditis.

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

Commotio cordis results from an unsynchronized impulse during ventricular repolarization, leading to ventricular fibrillation ($V_{Fib}$).

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

Pericardial laceration is commonly associated with rapid deceleration injuries to the chest wall.

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

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