Excerpt….
- An 80-year-old Black woman has a blood pressure (BP) of 168/102 mmHg and is started onamlodipine 5 mg The JNC 8 panel recommends treating this patient to a goal blood pressure of less than
- 160 mmHg systolic and 90 mmHg diastolic
b. 150 mmHg systolic and 90 mmHg diastolic
- 140 mmHg systolic and 90 mmHg diastolic
- 135 mmHg systolic and 85 mmHg diastolic
- 130 mmHg systolic and 80 mmHg diastolic
- A54-year-old Hispanic woman has home BP of 155/95 mmHg, confirmed by multiple similar readings and office BP of 154/94 She exercises, follows a low-salt diet, and rarely drinks alcohol. Which one of the following medications would be most appropriate for this patient?
a. Chlorthalidone
- Clonidine (Catapres)
- Doxazosin (Cardura)
- Metoprololsuccinate (Toprol-XL)
- Spironolactone (Aldactone)
- A 72-year-old man with a history of hypertension recently had acute coronary syndrome forwhich he was hospitalized and treated with a stent to one of his coronary arteries. In addition to antiplatelet therapy, what antihypertensives are recommended to treat his BP and improve outcomes regarding his ischemic heart disease?
- Chlorthalidone and atenolol
- Chlorthalidone and lisinopril
- Lisinopril and losartan
d. Lisinopril and metoprolol
- Metoprololand amlodipine Test Question Answers
- b
- a
- d
ECG, echocardiogram for structural heart disease and/or thrombus, stress testing, event monitor, EP studies
Noncardiac studies Overnight oximetry, sleep study
CBC, Complete blood count; ECG, electrocardiogram; EP, electrophysiology; TSH, thyroid stimulating hormone.
Questions
- Thepathophysiology that underlies the formation of atherosclerotic plaque in coronary arteries is primarily associated with which of the following mechanisms?
- Arterial infection
- Coronary dissection and repair