Clin Med Practice Exam 2: Cardio
Cardiology module
- 1.According to ATP III guidelines and the Framingham criteria, which of the following ten-year risks corresponds to a CHD risk equivalent in terms of LDL goals?
- A.
Over 10%
- B.
Over 20%
- C.
Over 30%
- D.
Over 40%
- 2.Which of the following scenarios would be a good indication for starting drug therapy?
- A.
Risk factor of 1, LDL level > 160 mg/dL
- B.
Risk factor 2,, LDL level >130 mg/dL
- C.
1 risk factor and LDL greater than 190
- D.
More than 2 risk factors and LDL greater than 130
- 3.Which of the following is not a cause of secondary hypertension?
- A.
Glucocorticoid remediable aldosteronism
- B.
Hyperactivity of the sympathetic nervous system
- C.
Coarctation of the aorta
- D.
Liddle syndrome
- 4.Which of the following is incorrect concerning hypertension?
- A.
Stimulation of the sympathetic nervous system leads to vasoconstriction and increased heart rate
- B.
Increased sodium in cells leads to increased intracellular calcium, which may increase vascular tone
- C.
Sodium retention leads to fluid retention, increasing intravascular volume
- D.
None of these are incorrect
- 5.Which of the following would be a finding if hypertension was from coarctation of the aorta?
- A.
Orthostatic drop
- B.
Radial-femoral delay
- C.
Loss of peripheral pulses
- D.
Presystolic S4 gallop
- 6.Your patient is wary when you tell him that losing weight can help to control his hypertension. In response, you tell him that weight reduction can lower his blood pressure by:
- A.
2mmHg diastolic for each 5 kg lost
- B.
5-20 mmHg systolic for each 10 kg lost
- C.
8-14mmHg systolic for each 5 kg lost
- D.
20 mmHg diastolic for each 10 kg lost
- 7.What is the goal of treatment for hypertension in a prehypertensive patient with diabetes?
- A.
120/80
- B.
130/80
- C.
140/80
- D.
Below 160 systolic
- 8.Which of the following would be an appropriate antihypertensive drug in a patient with chronic kidney disease?
- A.
Diuretic
- B.
ACE inhibitor
- C.
Calcium channel blocker
- D.
Beta blocker
- 9.The ACCOMPLISH study found that:
- A.
ACE inhibitor + CCB works better than ACE inhibitor + diuretic
- B.
Diuretics work the best to decrease the risk of heart disease in hypertensives
- C.
Statins can significantly improve HTN in individuals whose total cholesterol is under 250 mg/dL
- D.
Early beta blockers should be avoided in a patient with any degree of heart failure
- 10.Which of the following would be classified as resistant hypertension?
- A.
Failure to reach blood pressure control in pts adherent to a 2 drug regimen
- B.
Failure to reach blood pressure control with lifestyle modifications
- C.
Failure to reach blood pressure control in pts adherent to a 1 drug regimen
- D.
Failure to reach blood pressure control in pts adherent to a 3 drug regimen
- 11.According to CMDT 2010, which of the following is not a hypertensive emergency?
- A.
Hypertensive encephalopathy
- B.
Optic disc edema
- C.
Nephropathy
- D.
Preeclampsia
- 12.One of your patients is a 12 year old boy with marked hypertriglyceridemia who has had multiple cases of pancreatitis and hepatosplenomegaly. You suspect:
- A.
The hypertriglyceridemia is due to familial hypercholesterolemia
- B.
The hypertriglycerdemia is due to familial hyperchylomicronemia
- C.
The hypertriglyceridemia is due to obesity and sedentary lifestyle
- D.
The hypertriglyceridemia is due to hypothyroidism
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