Hypertension Management - A Practical Guide Pharmacy

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Hypertension Management - A Practical Guide

Question 1:

What is the recommended blood pressure goal for most adults according to the 2017 ACC/AHA guidelines?

A) <160/100 mmHg

B) <150/90 mmHg

C) <140/90 mmHg

D) <130/80 mmHg

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Hypertension Management - A Practical Guide

Question 2:

Which of the following is a first-line agent for uncomplicated hypertension?

A) Clonidine

B) Hydralazine

C) Lisinopril

D) Minoxidil

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Hypertension Management - A Practical Guide

Question 3:

Thiazide diuretics work primarily in which part of the nephron?

A) Proximal tubule

B) Loop of Henle

C) Distal convoluted tubule

D) Collecting duct

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Hypertension Management - A Practical Guide

Question 4:

A common electrolyte abnormality associated with thiazide diuretics is _____________.

A) Hyperkalemia

B) Hypokalemia

C) Hypernatremia

D) Hyperphosphatemia

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Hypertension Management - A Practical Guide

Question 5:

ACE inhibitors should be avoided in which patient population?

A) Those with heart failure

B) Patients with diabetes

C) Pregnant women

D) Patients with dyslipidemia

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Hypertension Management - A Practical Guide

Question 6:

ARBs lower blood pressure by _____________.

A) Blocking aldosterone directly

B) Inhibiting sodium reabsorption in the proximal tubule

C) Blocking angiotensin II receptors

D) Decreasing calcium influx into smooth muscle

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Hypertension Management - A Practical Guide

Question 7:

Which class of antihypertensives may cause a dry cough as a side effect?

A) Thiazides

B) Beta-blockers

C) ACE inhibitors

D) ARBs

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Hypertension Management - A Practical Guide

Question 8:

A key side effect of beta-blockers is _____________.

A) Tachycardia

B) Hyperkalemia

C) Bradycardia

D) Constipation

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Hypertension Management - A Practical Guide

Question 9:

Dihydropyridine calcium channel blockers primarily _____________.

A) Relax vascular smooth muscle

B) Reduce heart rate

C) Increase cardiac contractility

D) Block aldosterone receptors

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Hypertension Management - A Practical Guide

Question 10:

Which loop diuretic is most commonly used for volume overload in heart failure?

A) Hydrochlorothiazide

B) Lisinopril

C) Spironolactone

D) Furosemide

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Hypertension Management - A Practical Guide

Question 11:

Which class of antihypertensives is best avoided in older people due to orthostatic hypotension risk?

A) ARBs

B) Alpha-blockers

C) Thiazides

D) Calcium channel blockers

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Hypertension Management - A Practical Guide

Question 12:

Central acting agents, such as clonidine, reduce blood pressure by ______________.

A) Vasodilation

B) Diuresis

C) Sympathetic inhibition at the CNS level

D) Increasing parasympathetic tone

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Hypertension Management - A Practical Guide

Question 13:

According to JNC8 guidelines, the preferred BP target for most individuals under 60 is ______________.

A) <140/90 mmHg

B) <130/80 mmHg

C) <120/80 mmHg

D) <150/90 mmHg

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Hypertension Management - A Practical Guide

Question 14:

For a diabetic patient with hypertension, first-line therapy typically includes ______________.

A) Beta-blocker

B) ACE inhibitor or ARB

C) Thiazide only

D) Alpha-blocker

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Hypertension Management - A Practical Guide

Question 15:

One key counseling point when starting a thiazide diuretic is ______________.

A) Expect weight gain

B) Avoid water intake

C) Watch for dizziness and muscle cramps

D) Take before bed

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Hypertension Management - A Practical Guide

Question 16:

Which of the following is NOT a lifestyle recommendation for reducing blood pressure?

A) Weight loss

B) Sodium restriction

C) Regular physical activity

D) Increased alcohol consumption

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Hypertension Management - A Practical Guide

Question 17:

According to ACOG, generally speaking, BP is treated in pregnancy when____________.

A) >160/110 mmHg

B) >140/90 mmHg

C) >150/95 mmHg

D) >130/80 mmHg

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Hypertension Management - A Practical Guide

Question 18:

What is the primary benefit of pharmacist involvement in hypertension management?

A) Prescribing narcotics

B) Performing surgery

C) Improving medication adherence and monitoring

D) Ordering diagnostic imaging

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Hypertension Management - A Practical Guide

Question 19:

Which agent is contraindicated in patients with bilateral renal artery stenosis?

A) Lisinopril

B) Hydrochlorothiazide

C) Amlodipine

D) Metoprolol

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Hypertension Management - A Practical Guide

Question 20:

Which adverse effect is most commonly associated with dihydropyridine calcium channel blockers?

A) Hyperkalemia

B) Bradycardia

C) Peripheral edema

D) Hyperuricemia

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