Hypertension is one of the most prevalent conditions to find walking down the street and in a GP clinic. Here are some questions to test your knowledge modelled on the NICE 2020 Guidelines for Hypertension.
Second Author: Katrina Bogus
Reviewed by: awaiting review
Approach to the Patient with Hypertension
Stem 1 of 5
At a routine GP appointment, a 65YOF’s blood pressure is measured to be 145/100. She is of Afro-Carribean descent and is sent home with an ambulatory blood pressure monitor. She phones the GP to report an average score, from home, of 140/90.
The patient is brought to the clinic. Select all of the following steps you would conduct in this consultation from the list below.
Anterior cervical palpation
Repeat clinical blood pressure
Urine dipstick reading
Stem 2 of 5Which of the following is a modifiable risk factor for hypertension? Select all that apply.
High salt intake
Type 1 diabetes
Stem 3 of 5What is the most likely diagnosis in this patient?
Stage 1 hypertension
Stage 2 hypertension
Stage 3 hypertension
Stem 4 of 5Amongst other tests, an albumin-creatinine ratio (ACR) is ordered. Select all the options that may cause an increased ACR.
Type two diabetes
Urinary tract infection
High intensity exercise
Stem 5 of 5The patient is placed on a tablet at the end of the consultation. Which is the most likely choice?
Stem 1 of 5
A 45YOF with paraesthesia and fluctuating mood is referred to endocrinology for further assessment. Ambulatory blood pressure monitoring averages 165/115 and sodium is 165 mmol/L. A CT scan reveals a mass present above the kidney.
From which part of the suprarenal glands is cortisol released?
Stem 2 of 5A diagnosis of primary aldosteronism is made. Which of the following history findings would most likely support the conclusion?
A shaking, cold-sensation despite a warm environment
Dry mouth and increased drinking intake
Excessive growth of hair in the mental area
Feeling of “fluttering, pounding” heart
Pain in the ophthalmic and maxillary nerve region
Stem 3 of 5During assessment, the physician examines the thyroid. Which of the following would be undertaken in this consultation? Select all that may apply.
Fine tremor of the hands
Measuring the size of any mass
Observing the patient’s swallow
Percussion of the manubrium
Superoinferior proptosis examination
Stem 4 of 5Given the patient's diagnosis, which of the following investigation results best fit this clinical picture?
Stem 5 of 5Spironolactone is administered as a bridge to surgery. However the patient quickly states soreness of the breast tissue when wearing a bra. Which of the following is the most appropriate management change?