New Nice Hypertension Guidelines Training Quiz

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| By Gkrawlings1

Gkrawlings1

Community Contributor

Quizzes Created: 1 | Total Attempts: 266

Questions: 10 | Attempts: 266 | Updated: Mar 20, 2023

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Questions and Answers

1.

Stage one hypertension is when a patient has a clinic blood pressure at or above which value?
- A.
  
  160/100mmHg
- B.
  
  135/85mmHg
- C.
  
  140/90mmHg
- D.
  
  180/110mmHg
Correct Answer
C. 140/90mmHg

Explanation
Stage one hypertension is defined as having a clinic blood pressure at or above 140/90mmHg. This means that if a patient's blood pressure consistently measures at or above this value, they would be diagnosed with stage one hypertension.

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2.

Ambulatory blood pressure monitoring is:
- A.
  
  A blood pressure measurement taken in the clinic
- B.
  
  Blood pressure measurements taken over 24 hours
- C.
  
  A blood pressure measurement taken once at home
- D.
  
  None of the above
Correct Answer
B. Blood pressure measurements taken over 24 hours

Explanation
Ambulatory blood pressure monitoring involves the continuous measurement of blood pressure over a 24-hour period. This method provides a more accurate and comprehensive assessment of an individual's blood pressure patterns throughout the day and night, compared to a single measurement taken in a clinic or at home. By monitoring blood pressure over an extended period, healthcare professionals can identify any fluctuations, abnormal patterns, or nocturnal hypertension that may not be detected through a single measurement. This information helps in diagnosing and managing hypertension more effectively.

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3.

Blood pressure must be measured in both arms, if there is a difference between the two values, a repeat test must be given. Which difference or above requires an additional test?
- A.
  
  10mmHg
- B.
  
  40mmHg
- C.
  
  5mmHg
- D.
  
  20mmHg
- E.
  
  80mmHg
Correct Answer
D. 20mmHg

Explanation
Blood pressure should be measured in both arms to identify any significant difference between the values. If there is a difference of 20mmHg or above between the two arms, it indicates a significant asymmetry and requires an additional test. This is because a large difference in blood pressure between arms may suggest underlying vascular or cardiovascular issues that need to be further investigated.

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4.

If the patient does not have hypertension, when should the next blood pressure measurement be given?
- A.
  
  6 months
- B.
  
  1 year
- C.
  
  5 years
- D.
  
  2 years
- E.
  
  7 years
Correct Answer
C. 5 years

Explanation
The next blood pressure measurement should be given after 5 years if the patient does not have hypertension. This is because regular blood pressure checks are recommended every 1-2 years for adults with normal blood pressure. However, if the patient has hypertension or other risk factors, more frequent monitoring may be necessary.

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5.

How many measurements throughout the day should be given if the clinic blood pressure is 140/90mmHg or higher?
- A.
  
  4
- B.
  
  2
- C.
  
  10
- D.
  
  14
- E.
  
  7
Correct Answer
D. 14
6.

Refer the patient to a specialist if they have:
- A.
  
  Accelerated hypertension with signs of papilloedema
- B.
  
  Accelerate hypertension with retinal haemorrhage
- C.
  
  Suspected phaeochromocytoma
- D.
  
  All of the above
Correct Answer
D. All of the above

Explanation
The correct answer is "All of the above". This means that if a patient has accelerated hypertension with signs of papilloedema, accelerated hypertension with retinal haemorrhage, or suspected phaeochromocytoma, they should be referred to a specialist. These conditions are serious and require specialized care and treatment.

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7.

Below 80 years of age, a target blood pressure value should be:
- A.
  
  150/90mmHg or below
- B.
  
  150/95mmHg or below
- C.
  
  140/90mmHg or below
- D.
  
  120/90mmHg or below
- E.
  
  180/110mmHg or below
Correct Answer
C. 140/90mmHg or below

Explanation
For individuals below 80 years of age, a target blood pressure value should be 140/90mmHg or below. This means that both the systolic pressure (the top number) and the diastolic pressure (the bottom number) should be at or below these values. Maintaining blood pressure at or below this level is important for reducing the risk of cardiovascular diseases and other complications associated with high blood pressure.

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8.

Antihypertensives should be given to patients under 80 years with stage one hypertension and which of the following?
- A.
  
  Target organ damage
- B.
  
  10-year cardiovascular risk equivalent to 20% or greater
- C.
  
  Diabetes
- D.
  
  Established cardiovascular disease
- E.
  
  Renal disease
- F.
  
  All of the above
Correct Answer
F. All of the above

Explanation
Patients under 80 years with stage one hypertension should be given antihypertensives if they have target organ damage, 10-year cardiovascular risk equivalent to 20% or greater, diabetes, established cardiovascular disease, or renal disease. This means that if the patient has any of these conditions, they should be treated with antihypertensives, as it is important to manage their blood pressure to prevent further complications and reduce the risk of cardiovascular events.

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9.

For a patient of black, African or Caribbean ethnicity which step one hypertensive treatment should be given:
- A.
  
  ACE inhibitor
- B.
  
  Calcium Channel Blocker
- C.
  
  Diuretic
- D.
  
  Alpha-blocker
- E.
  
  Beta-blocker
Correct Answer
B. Calcium Channel Blocker

Explanation
Calcium channel blockers are the recommended step one hypertensive treatment for patients of black, African or Caribbean ethnicity. This is because studies have shown that this group of patients tends to respond better to calcium channel blockers compared to other antihypertensive medications. Calcium channel blockers work by relaxing the blood vessels and reducing the force of the heart's contractions, thus helping to lower blood pressure. Therefore, prescribing a calcium channel blocker as the initial treatment option for hypertensive patients of black, African or Caribbean ethnicity is considered the most appropriate choice.

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10.

Which of the following advice should NOT be given:
- A.
  
  Regular exercise
- B.
  
  Healthy diet
- C.
  
  Reduced caffeine intake
- D.
  
  Reduced alcohol intake
- E.
  
  High sodium diet
- F.
  
  Smoking cessation
- G.
  
  Group motivation
Correct Answer
E. High sodium diet

Explanation
A high sodium diet should not be advised because excessive sodium intake can lead to various health problems such as high blood pressure, heart disease, and stroke. It is recommended to limit sodium intake to maintain a healthy lifestyle.

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Current Version
Mar 20, 2023

Quiz Edited by
ProProfs Editorial Team
Nov 03, 2013

Quiz Created by
Gkrawlings1

New Nice Hypertension Guidelines Training Quiz

Stage one hypertension is when a patient has a clinic blood pressure at or above which value?

Ambulatory blood pressure monitoring is:

Blood pressure must be measured in both arms, if there is a difference between the two values, a repeat test must be given. Which difference or above requires an additional test?

If the patient does not have hypertension, when should the next blood pressure measurement be given?

How many measurements throughout the day should be given if the clinic blood pressure is 140/90mmHg or higher?

Refer the patient to a specialist if they have:

Below 80 years of age, a target blood pressure value should be:

Antihypertensives should be given to patients under 80 years with stage one hypertension and which of the following?

For a patient of black, African or Caribbean ethnicity which step one hypertensive treatment should be given:

Which of the following advice should NOT be given: