Hypertension diagnosis and management US Medical PG Flashcards - Medical Study Cards
Master Hypertension diagnosis and management with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Hypertension diagnosis and management Flashcard Deck - 10 Cards
Flashcard 1: Patients with scleroderma can present with a sclerodermal renal crisis, which is an intense renal failure that causes _____
Answer: hypertensive emergency
Flashcard 2: The first line treatment for hypercholesterolemia (LDL) is with lifestyle modification and _____
Answer: statins
Flashcard 3: In patients with hypertension and what comorbidity should ACE inhibitors / ARBs become first line?_____
Answer: Hypertension with Diabetes Mellitus
Flashcard 4: Hypertensive retinopathy revolves around retinal damage due to chronic _____ hypertension
Answer: uncontrolled
Extra: Watch associated Bootcamp video [https://app.bootcamp.com/med-school/cardiology/videos/hypertension?index=8]
https://onlinemeded.org/spa/pediatrics/ophthalmology/acquire?ref=anki
Flashcard 5: What is the most common cause of secondary hypertension in elderly males? _____
Answer: Atherosclerosis
Flashcard 6: _____ hypertension (5-10% of cases) is due to an identifiable etiology
Answer: Secondary
Flashcard 7: What is Ebstein's anomaly?
Answer: atrialized right ventricle
Flashcard 8: Arteries involved in Medial Medullary Syndrome
Answer: stroke in paramedian branches of ASA and/or vertebral arteries
Extra: Features:
1. Ipsilateral hypoglossal nerve palsy (tongue deviation to side of lesion)
2. Contralateral hemiparesis (pyramidal tract)
3. Contralateral loss of proprioception/vibration (medial lemniscus)
Flashcard 9: Pathophysiology of migraine headache
Answer: irritation of CN 5, meninges, and/or blood vessels
Extra: Involves activation of the trigeminovascular system.
Pathogenesis: Release of substance P, CGRP, and vasoactive peptides.
Clinical features: Pulsating unilateral headache; 4-72 hr duration; +/- nausea, photophobia, phonophobia, aura.
Treatment:
- Abortive: Triptans, NSAIDs
- Prophylactic: Propranolol, Topiramate, Amitriptyline
Flashcard 10: What is the pathophysiology and clinical presentation of Familial Hypercholesterolemia (Hyperlipidemia Type IIa)?
Answer: Defect: LDL receptor mutation (autosomal dominant)
Lab findings: Elevated LDL and Total Cholesterol
Clinical features: Severe atherosclerotic disease, Tendon xanthomas, Corneal arcus, early MI
Extra: Familial Hypercholesterolemia (Type IIa) is characterized by a deficiency or defect in the LDL receptors, leading to decreased clearance of LDL from the blood.
Heterozygotes: Cholesterol around 300 mg/dL.
Homozygotes (rare): Cholesterol >700 mg/dL, MI can occur in childhood.
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