Hypertension
General Medicine · Topic 8
Source: NMC CBME Curriculum 2024 · Volume II · General Medicine · Topic 8 · combined PDF page 295
Practice questions
- A patient remains above target blood pressure despite taking three antihypertensive drug classes, one of which is a diuretic. Which additional feature is necessary to match the supplied definition of resistant hypertension?
- A patient taking three antihypertensive classes, including a diuretic, has high clinic blood pressure. Before considering renal denervation under the supplied Japanese consensus, what additional blood pressure evidence is specifically required?
- Which patient most closely meets the resistant-hypertension criteria for renal-denervation consideration described in the supplied Japanese consensus?
- How do the supplied Japanese guidelines position renal denervation for resistant hypertension?
- A multidisciplinary team is assessing a patient for renal denervation. Which approach best matches the supplied consensus?
- A systematic review found that fourth-line spironolactone reduced clinic systolic blood pressure by approximately how much versus placebo in resistant hypertension?
- In the supplied meta-analysis of fourth-line treatments for resistant hypertension, which treatment had the largest reported placebo-adjusted clinic systolic blood pressure reduction?
- Why did the authors of the fourth-line resistant-hypertension meta-analysis not perform their planned network meta-analysis?
- Which safety interpretation is supported by the supplied meta-analysis of fourth-line therapies for resistant hypertension?
- According to the supplied ACR update, when is imaging evaluation for renovascular hypertension indicated?
- A patient with suspected renovascular hypertension has decreased renal function. Which imaging option is described in the supplied ACR update as a reliable alternative in this setting?
- Which set contains the principal imaging modalities identified by the supplied ACR update for assessing renovascular hypertension?
- A meta-analysis reports that the TyG index is associated with higher odds of pre-hypertension. What conclusion is justified by the supplied review?
- Which non-insulin-based index had the larger diagnostic odds ratio for pre-hypertension in the supplied meta-analysis?
- Which statement about non-insulin-based insulin-resistance indices and pre-hypertension is supported by the supplied systematic review?
- In the supplied network meta-analysis of gestational hypertension prevention, which intervention had the highest probability of being the most effective according to SUCRA ranking?
- Compared with placebo, which intervention was associated with a statistically significant reduction in gestational hypertension in the supplied network meta-analysis?
- Which limitation should temper interpretation of the supplied network meta-analysis of gestational hypertension prevention?
- A patient asks whether acupuncture can replace established antihypertensive care after hearing that a meta-analysis found lower blood pressure with acupuncture. Which response best reflects the supplied evidence?
- What was a major limitation of the supplied acupuncture meta-analysis for primary hypertension?
- The supplied African regional hypertension guideline identifies which approach as important for improving detection in settings with many undiagnosed cases?
- Why does the supplied African regional guideline emphasize simplified hypertension protocols for non-physician health workers?
- Which implementation challenge is explicitly identified in the supplied African regional hypertension guideline?