These are the answers for the questions covering hypertension, hypertension medications and cardiomyopathy. You can find the review questions here and the articles and podcasts if you click on the links provided.
1. The answer is B
- Calcium Channel blockers would be a fine choice here
- With a history of asthma beta blockers would be best avoided
- With BPH alpha blockers may be a good choice
- ACE inhibitors would be OK for this patient just watch the cough.
2. The answer is A
- Three separate elevated blood pressures are diagnostic for HTN
- Thiazide diuretics are first line treatment however one more measurement is necessary for a diagnosis.
- This patient’s blood pressure is in the mild HTN range
- Calcium Channel blockers are not first line treatment for mild HTN once it is diagnosed
3. The answer is A. A patient with hypertrophic cardiomyopathy may have systolic murmur that will decrease when he squats down. (the part about being an athlete doesn’t hurt either)
4. The answer is D
- Gout is a side effect
- Hypokalemia is a side effect
- Hearing loss is a side effect
- Metallic taste in mouth is not a side effect
5. Here is a good list
- Weight reduction
- DASH diet
- Reduce sodium intake
- Increase physical activity
- Limit alcohol consumption
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