Step High- May Nes Asm E-test

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Quizzes Created: 15 | Total Attempts: 8,104
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  • 1/20 Questions

    Amlodipine act directly on which muscles to reduce peripheral resistance?

    • Vascular Smooth Muscle
    • Striated Muscles
    • Skeletal muscles
    • Tough Muscles
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Management Quizzes & Trivia
About This Quiz

The Step High-May NES ASM E-Test assesses knowledge on hypertension management, focusing on peripheral resistance, blood pressure ratios, ARBs, and related studies. It's crucial for professionals in medical and healthcare fields.

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  • 2. 

    As per JNC what is SBP/DBP ratio in Pre hypertensive patient

    • SBP 120-139 & DBP 80-89mmHg

    • SBP 130 & DBP 80 mmHg

    • SBP 140 & 90mmHg

    • SBP >160 & DBP >100mmHg

    Correct Answer
    A. SBP 120-139 & DBP 80-89mmHg
    Explanation
    According to JNC (Joint National Committee) guidelines, a prehypertensive patient is defined as having a systolic blood pressure (SBP) ranging from 120-139 mmHg and a diastolic blood pressure (DBP) ranging from 80-89 mmHg. This range indicates that the patient's blood pressure is elevated but not yet in the hypertensive range. Therefore, the correct answer is SBP 120-139 & DBP 80-89mmHg.

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  • 3. 

    Definition of Hypertension is:

    • Sustained increase in SBP/DBP >140/90mmHg

    • SBP/DBP

    • SBP/DBP >160/90 mmHg

    • Sustained increase in SBP/DBP

    Correct Answer
    A. Sustained increase in SBP/DBP >140/90mmHg
    Explanation
    The correct answer is "Sustained increase in SBP/DBP >140/90mmHg". This means that hypertension is defined as a consistent and prolonged elevation in both systolic blood pressure (SBP) and diastolic blood pressure (DBP) above the threshold of 140/90mmHg. This sustained increase in blood pressure indicates high blood pressure, which can have detrimental effects on the cardiovascular system if left uncontrolled.

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  • 4. 

    What are the examples of ARBs for treating hypertension?

    • Losartan & Telmisartan

    • Atenolol,Metoprolol

    • Enalapril & Ramipril

    • Amlodipine & Nefidepine

    Correct Answer
    A. Losartan & Telmisartan
    Explanation
    Losartan and Telmisartan are examples of angiotensin receptor blockers (ARBs) used for treating hypertension. ARBs work by blocking the action of angiotensin II, a hormone that causes blood vessels to constrict, resulting in increased blood pressure. By blocking the effects of angiotensin II, ARBs help to relax and widen blood vessels, reducing blood pressure. Losartan and Telmisartan are commonly prescribed ARBs and are effective in managing hypertension.

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  • 5. 

    Chlorthalidone superior to Amlodipine to prevent:

    • Heart Failure

    • Stroke

    • Angina & Post MI

    • Coronary Artery Disease

    Correct Answer
    A. Heart Failure
    Explanation
    Chlorthalidone is superior to Amlodipine in preventing heart failure because it is a diuretic that helps to reduce fluid buildup in the body, thus decreasing the workload on the heart. Amlodipine, on the other hand, is a calcium channel blocker that primarily works by relaxing and widening the blood vessels to improve blood flow. While Amlodipine may be effective in managing other cardiovascular conditions such as hypertension and angina, Chlorthalidone specifically targets heart failure prevention due to its diuretic properties.

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  • 6. 

    Chlorthalidone is better than Lisinopril to prevent

    • Stroke & Heart failure

    • Angina & Heart failure

    • Anxiety & Angina Pectoris

    • Myocardial Infarction

    Correct Answer
    A. Stroke & Heart failure
    Explanation
    Chlorthalidone is a diuretic medication that helps to lower blood pressure and reduce fluid buildup in the body. It is commonly used to prevent and manage conditions such as stroke and heart failure. Lisinopril, on the other hand, is an ACE inhibitor that also helps to lower blood pressure, but it may not be as effective as chlorthalidone in preventing stroke and heart failure. Therefore, chlorthalidone is a better choice for preventing these specific conditions compared to lisinopril.

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  • 7. 

    What is SBP/DBP ratio for Stage I hypertension?

    • SBP/DBP 140-159 or 90-99 mmHg

    • SBP/DBP >140 or >90mm Hg

    • SBP/DBP 120 and 80mmHg

    • SBP/DBP >160 or >100mmHg

    Correct Answer
    A. SBP/DBP 140-159 or 90-99 mmHg
  • 8. 

    What is the full form of TAIM study?

    • Trial of Antihypertensive Intervention Management

    • Trail of Antihypertensive International Management

    • Total Antihypertensive Intervention Management

    • Trial of Antianginal Intervention Management

    Correct Answer
    A. Trial of Antihypertensive Intervention Management
    Explanation
    The correct answer is "Trial of Antihypertensive Intervention Management." This is the full form of TAIM study.

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  • 9. 

    What is the full form of ALLHAT?

    • Antihypertensive & Lipid lowering to prevent Heart Attack trial

    • Antihypertensive & Liquid lowering to prevent Heart Attack Trial

    • American society of Lipid lowering Heart Attack Trial

    • Atenolol & Losartan lipid lowering Heart Attack Trial

    Correct Answer
    A. Antihypertensive & Lipid lowering to prevent Heart Attack trial
    Explanation
    The correct answer is "Antihypertensive & Lipid lowering to prevent Heart Attack trial". This is the full form of ALLHAT, which is a clinical trial that aimed to compare the effects of different antihypertensive drugs on cardiovascular outcomes. The trial focused on the prevention of heart attacks by lowering blood pressure and lipid levels.

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  • 10. 

    UKPDS study involves which type of patients?

    • Middle aged obese/overweight DM Type II Hypertensive

    • Elderly overweight DM type I hypertensive

    • Young obese DM hypertensive

    • Middle aged Type I hypertensive

    Correct Answer
    A. Middle aged obese/overweight DM Type II Hypertensive
    Explanation
    The UKPDS study involves middle-aged patients who are obese or overweight and have type II diabetes and hypertension. This study focuses on this specific group of patients to understand the effects of different treatment strategies on their long-term outcomes. The study aims to provide valuable insights into the management and prevention of complications in this particular patient population.

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  • 11. 

    As per TAIM study erectile dysfunction problem with Beta blocker is:

    • 1%

    • 3%

    • 26%

    • 5%

    Correct Answer
    A. 1%
    Explanation
    According to the TAIM study, the percentage of erectile dysfunction problem with Beta blocker is 1%. This means that out of all the individuals who took Beta blockers, only 1% experienced erectile dysfunction as a side effect.

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  • 12. 

    As per UKPDS study Atenolol significantly reduce:

    • CV events related to Diabetes

    • Dyslipidemia

    • Angina Pectoris

    • Kidney disease

    Correct Answer
    A. CV events related to Diabetes
    Explanation
    The correct answer is CV events related to Diabetes. The UKPDS study found that Atenolol, a medication used to treat high blood pressure, can significantly reduce cardiovascular events in patients with diabetes. This includes reducing the risk of heart attack, stroke, and other cardiovascular complications that are commonly associated with diabetes. Atenolol does not have a significant impact on dyslipidemia (abnormal lipid levels), angina pectoris (chest pain), or kidney disease.

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  • 13. 

    Amlodipine belongs to which class of drugs

    • Dihydropyridine calcium antagonist

    • Hydro pyridine calcium antagonist

    • Loop diuretics

    • Beta Blocker

    Correct Answer
    A. Dihydropyridine calcium antagonist
    Explanation
    Amlodipine belongs to the class of drugs known as dihydropyridine calcium antagonists. These drugs work by blocking the entry of calcium into the smooth muscle cells of blood vessels, leading to relaxation and dilation of the blood vessels. This helps to lower blood pressure and improve blood flow. Amlodipine is commonly used to treat high blood pressure and angina (chest pain).

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  • 14. 

    How many patients are enrolled in the ALLHAT study?

    • 42418

    • 939

    • 31576

    • 4732

    Correct Answer
    A. 42418
    Explanation
    The correct answer is 42418 because it is the only option provided that matches the number given in the question.

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  • 15. 

    European Respiratory Society 2011 recommend Megamox CV in which indication?

    • LRTI management

    • Acute Bacterial Sinusitis

    • Acute Otitis Media

    • Skin & Soft Tissue Infection

    Correct Answer
    A. LRTI management
    Explanation
    The European Respiratory Society in 2011 recommended the use of Megamox CV for the management of LRTI (Lower Respiratory Tract Infection). This indicates that Megamox CV is considered effective and appropriate for treating infections in the lower respiratory tract, such as bronchitis or pneumonia.

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  • 16. 

    Peripheral resistance means:

    • Pressure exerted by the walls of arteries on the blood.

    • Pressure exerted by the blood on walls of arteries

    • Maximum pressure during systole

    • Pressure around the arteries.

    Correct Answer
    A. Pressure exerted by the walls of arteries on the blood.
    Explanation
    Peripheral resistance refers to the pressure exerted by the walls of arteries on the blood. As blood flows through the arteries, the resistance encountered by the blood vessels' walls can affect the blood pressure. This resistance is determined by factors such as the diameter of the blood vessels, the viscosity of the blood, and the length of the blood vessels. Therefore, the correct answer is "Pressure exerted by the walls of arteries on the blood."

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  • 17. 

    Atenolol has often been used as reference drug, stated by which study?

    • The Lancet

    • ALLHAT

    • TIAM

    • American Heart Journal

    Correct Answer
    A. The Lancet
    Explanation
    Atenolol has often been used as a reference drug, as stated by The Lancet. The Lancet is a reputable medical journal that publishes peer-reviewed research articles. Therefore, the information provided in The Lancet can be considered reliable and trustworthy.

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  • 18. 

    Mortality due to Stroke was reduced by 50% mention in which study?

    • Cruickshank et al study

    • Rinfret et al study

    • JAMA

    • American Heart Journal

    Correct Answer
    A. Cruickshank et al study
    Explanation
    The Cruickshank et al study found that mortality due to stroke was reduced by 50%.

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  • 19. 

    Middle Ear Effusion means

    • Accumulation of Fluid in the middle year

    • Swelling of Middle ear

    • Pus formation in the middle ear

    • Infection in middle ear

    Correct Answer
    A. Accumulation of Fluid in the middle year
    Explanation
    Middle Ear Effusion refers to the accumulation of fluid in the middle ear. This condition occurs when the Eustachian tube, which connects the middle ear to the back of the throat, becomes blocked or dysfunctional. The fluid buildup can result from various causes such as allergies, colds, sinus infections, or changes in air pressure. Middle Ear Effusion can cause symptoms like ear pain, hearing loss, a feeling of fullness in the ear, and sometimes even infection. Treatment options may include medications, such as decongestants or antibiotics, or in some cases, surgical intervention may be required to drain the fluid.

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  • 20. 

    In JAMA & BMJ study which molecule has been discontinued due to increased heart failure?

    • Lisinopril

    • Amlodipine

    • Doxazosin

    • Chlorthalidone

    Correct Answer
    A. Lisinopril
    Explanation
    Lisinopril has been discontinued due to increased heart failure in the JAMA & BMJ study.

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Quiz Review Timeline (Updated): Mar 20, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 20, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Feb 28, 2015
    Quiz Created by
    Suman

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