• Profile

Accurate Blood Pressure Measurement: Take the Quiz

M3 India Newsdesk May 17, 2023

To better understand the patient's risk for heart disease and stroke, it's crucial to obtain an accurate blood pressure reading. Take this quiz to test your knowledge about accurate blood pressure measurement.


Effective Monitoring of the blood pressure: MCQ Challenge

1. You have been referred to a 65-year-old man whom the GP has struggled to manage. For the last year, his clinic blood pressure recordings have been persistently around 150/90 mmHg. Still, he claims to suffer from the ‘white coat’ phenomenon, with home recordings of about 135/90 mmHg which you are satisfied to have been undertaken appropriately. He is otherwise healthy, having implemented dietary changes and increased his exercise over the last year, but smokes and intends to continue.
What do you recommend?

2. You requested a 24-hour ambulatory blood pressure monitor to assess an individual’s response to treatment. It revealed an average daytime recording of 143/95 mmHg and a night-time average of 134/80 mmHg. He is aged 57, is non-diabetic, and has appropriately adjusted his lifestyle. Medication was commenced a year ago, and he has been on 5 mg of ramipril for 3 months with a recently tolerated mild cough, which may be unrelated.
What is the best treatment option?

3. A patient is followed up at a 6-week appointment following a primary percutaneous intervention for an anterior STEMI. An echocardiogram pre-discharge estimated overall LVEF as 40%. He is asymptomatic, compliant with all medications, and has no problems from side effects. His blood pressure is 95/70 mmHg, with no evidence of a postural drop, and his heart rate is 55 bpm. His GP has recently increased his medication to 5 mg bisoprolol and 7.5 mg ramipril.
What are your recommendations?

4. Which one of the following antihypertensive medications might you use to try and prevent new-onset atrial fibrillation?

5. Which of the following antihypertensive drug classes is most effective at reducing carotid intimal thickness?

6. What is the long-term antihypertensive mechanism of action for thiazide diuretics?

7. A 56-year-old man on hydralazine, hydrochlorothiazide, lisinopril, and metoprolol begins to develop a malar rash and arthralgias. Which of the above antihypertensive agents is known to cause drug-induced lupus?

8. A 27-year-old woman presents to the cardiology clinic for evaluation of uncontrolled hypertension. She was diagnosed 2 years ago and is currently taking hydrochlorothiazide, lisinopril, and amlodipine. She denies nonadherence and has a blood pressure of 170/100 mmHg which is equal in both arms. On routine laboratory examination, she has a potassium level of 2.9
mEq/L with a sodium level of 148 mEq/L. What is the most appropriate diagnostic test?

9. A 56-year-old man with resistant hypertension begins to take a new antihypertensive agent. Within the next few weeks, he is diagnosed with pericarditis. Which of the following agents is most likely responsible?

10. A 36-year-old patient, status post heart transplantation, is found to have hypertension. He is currently taking prednisone, mycophenolate, and cyclosporine. Which of the following antihypertensive medications would increase cyclosporine levels?

Only Doctors with an M3 India account can read this article. Sign up for free or login with your existing account.
4 reasons why Doctors love M3 India
  • Exclusive Write-ups & Webinars by KOLs

  • Nonloggedininfinity icon
    Daily Quiz by specialty
  • Nonloggedinlock icon
    Paid Market Research Surveys
  • Case discussions, News & Journals' summaries
Sign-up / Log In
M3 app logo
Choose easy access to M3 India from your mobile!

M3 instruc arrow
Add M3 India to your Home screen
Tap  Chrome menu  and select "Add to Home screen" to pin the M3 India App to your Home screen