Contemporary Management of Hypertension Beyond ACE Inhibitors
1. In the 1990's what percentage of hypertensives in the United States are controlled to a blood pressure of less than 140/90?
a. 24% b. 50% c. 75% d. 85%
2. Which of the following "Target Organ Problems" have increased significantly over the past 20 years?
a. Heart attacks and kidney failure b. Strokes and congestive heart failure c. Congestive heart failure and kidney failure d. Heart attacks and strokes
3. Which genetically predetermined risk factors are components of the cluster of cardiovascular risk factor with make up "The Hypertension Syndrome"?
a. Insulin resistance b. Hyperlipidemia c. Obesity d. All of the above
4. Which of the following statements regarding Hyperuricemia are correct?
a. Predicts the development of hypertension b. Present in 40 - 50 % of patients on antihypertensive therapy, especially on diuretics c. Predicts increased mortality and morbidity in women d. All of the above
5. What are some of the mechanisms by which Uric acid may play a role in cardiovascular disease?
a. May enhance platelet adhesiveness or aggregation b. High levels of uric acid crystals may promote atherosclerosis c. Both a and b d. None of the above
6. Optimal blood pressure is defined as a blood pressure of less than?
a. 120/80 b. 130/85 c. 140/90 d. None of the above
7. In patients with high-normal blood pressure (130-139/85-89) and Left Ventricular Hypertrophy on echocardiogram with a serum creatinine of 1.6 the appropriate therapy would be to?
a. provide life style modification indefinitely or until the blood pressure is above 140/90 b. Start drug therapy with an angiotensin II modulating drug c. Lifestyle modification for 6 months than start drug therapy d. Lifestyle modification for 12 months than start drug therapy
8. Blood pressure is determined by which of the following two factors?
a. Cardiac output and peripheral vascular resistance b. Cardiac output and the intravascular volume c. Cardiac output and the heart rate d. None of the above
9. The Neurohumoral systems that play an important role in maintaining blood pressure are?
a. The serotonin and vasopressin systems b. Glucocorticoids and sympathetic nervous system c. The renin angiotensin aldosterone and the sympathetic nervous system d. None of the above
10. Which of the following organ systems does Angiotensin II affect?
a. Brain b. Heart c. Adrenal gland d. All of the above
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