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Hypertension

মোট প্রশ্ন৩৩এই পাতা৩৩প্রতি পাতা১০০
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

Hypertension

PrepBank · পাতা / · ৩৩ / ৩৩

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HTN with radiofemoral delay indicates
  1. ক) Renal artery stenosis
  2. খ) Polycystic kidney disease
  3. গ) Coarctation of aorta
  4. ঘ) Cushing’s syndrome
ব্যাখ্যা
Reference: Davidson 23rd; P-509
.
The optimum BP for reduction of cardiovascular events has been found to be
  1. ক) 120/80
  2. খ) 130/90
  3. গ) 128/88
  4. ঘ) 139/83
.
ACE inhibitor causes
  1. ক) Dry cough
  2. খ) Cough with berathlessness
  3. গ) Cough with profuse expectoration
  4. ঘ) Cough with postural variation
.
Which of the following usually not causes facial flushing ?
  1. GTN
  2. Mastocytoses
  3. Frey’s syndrome
  4. Beta Blocker
.
HTN with radio femoral delay indicates
  1. Renal artery stenosis
  2. Aortic stenosis
  3. Coarctation of aorta
  4. Infective endocarditis
ব্যাখ্যা
The BP is raised in the upper body but normal or low in the legs. The femoral pulses are weak and delayed in comparison with the radial pulse
.
Which of the following antihypertensive causes neutropenia?
  1. Losartan
  2. Enalapril
  3. Atenolol
  4. Alpha methyldopa
.
Which type of apex beat is found in hypertensive patient?
  1. Taping
  2. Heaving
  3. Thrusting
  4. Dyskinetic
.
Drug of choice in treatment resistant HTN
  1. ক) CCB
  2. খ) ARB
  3. গ) Spironolactone
  4. ঘ) Frusemide
.
Which drug causes angioedema?
  1. ক) ACE inhibitors
  2. খ) Gold, penicillamine
  3. গ) Antimalarials
  4. ঘ) Metformin
ব্যাখ্যা
Explanation: ACE inhibitors causes angioedema
১০.
In a hypertensive patient, which type of apex beat typically found?
  1. ক) Heaving
  2. খ) Thrusting
  3. গ) Dyskinetic
  4. ঘ) Normal
ব্যাখ্যা
Explanation: heaving apex beat found in: Pressure overload, such as aortic stenosis, hypertension
১১.
What is the nature of apex beat in HTN?
  1. Taping
  2. Heaving
  3. Thrusting
  4. Thrilling
ব্যাখ্যা
Common abnormalities of the apex beat
Volume overload
such as mitral or aortic regurgitation: displaced, thrusting
Pressure overload
such as aortic stenosis, hypertension: discrete, heaving
Palpable S1 (tapping apex beat: mitral stenosis)
Palpable P2 (severe pulmonary hypertension)
১২.
Drug of choice in isolated systolic hypertension
  1. ACEi
  2. ARB
  3. CCB
  4. Beta blocker
ব্যাখ্যা
Reference: Davidson 23rd; P-514
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১৩.
Drugs used in accelerated hypertension except
  1. Labetalol
  2. GTN
  3. Hydralazine
  4. Frusemide
ব্যাখ্যা
Reference: Davidson 23rd; P-514
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১৪.
Which anti-hypertensive is contraindicated in pregnancy?
  1. ক) Amlodipine
  2. খ) Ramipril
  3. গ) Verapamil
  4. ঘ) Atenolol
ব্যাখ্যা
Explanation: ACE inhibitors & ARB are contraindicated in pregnancy
১৫.
Antihypertensive contraindicated in gout
  1. Thiazide
  2. ARB
  3. CCB
  4. Beta blocker
ব্যাখ্যা
Reference: Davidson 23rd; P-514
সলভ ক্লাসের জন্য আলোচনা পোস্ট দেখুন - [আলোচনা পোস্টের লিঙ্ক]
১৬.
Which of the following drugs should be avoided while managing hypertension in acute aortic dissection?
  1. ক) Labetalol
  2. খ) Sodium nitroprusside
  3. গ) Hydralazine
  4. ঘ) Verapamil
ব্যাখ্যা
For acute dissection, parenteral beta-adrenergic blockers (IV propranolol, metoprolol, labetalol or esmolol) should be administered to achieve a heart rate of ~60 beats/min. Sodium nitroprusside infusion is used to lower SBP to <120 mmHg. Verapamil, diltiazem or enalaprilat may be used parenterally. Isolated use of direct vasodilators like diazoxide and hydralazine is contraindicated because these agents can increase hydraulic shear and may propagate dissection.
১৭.
Most common risk factor of aortic dissection?
  1. ক) HTN
  2. খ) DM
  3. গ) Atherosclerosis
  4. ঘ) Coarctation
১৮.
Which one is the most common cause of aortic dissection?
  1. HTN
  2. Atherosclerosis
  3. Marfan syndrome
  4. Pregnancy
১৯.
When multiple drug treatments do not give adequate control of BP, it is called
  1. Malignant hypertension
  2. Reactive hypertension
  3. Refractory hypertension
  4. Resistant hypertension
ব্যাখ্যা
Refractory hypertension refers to the situation where multiple drug treatments do not give adequate control of BP. Although this may be due to genuine resistance to therapy in some cases, a more common cause of treatment failure is non-adherence to drug therapy.
২০.
Which antihypertensive is contraindicated in pregnancy?
  1. ক) β-blockers
  2. খ) ACE inhibitors
  3. গ) Calcium channel blockers
  4. ঘ) All above
ব্যাখ্যা
Reference: Davidson 23rd, Box-16.72
২১.
Flame-shaped or blot haemorrhages and ‘cotton wool’ exudates are the features of which grade of hyepertensive retinopathy?
  1. ক) 1
  2. খ) 2
  3. গ) 3
  4. ঘ) 4
২২.
Which of the following is the first-line treatment for hypertensive emergency?
  1. Labetalol
  2. Nifedipine
  3. Amlodipine
  4. Furosemide
ব্যাখ্যা
Labetalol, a combined alpha- and beta-blocker, is commonly used in hypertensive emergencies to rapidly lower blood pressure. Davidson explains that hypertensive emergencies require immediate reduction of blood pressure to prevent organ damage, and labetalol is effective due to its rapid onset and short half-life. Harrison emphasizes that intravenous administration is preferred in emergencies, and care must be taken to avoid an excessive drop in blood pressure.
২৩.
Which antihypertensive is contraindicated in pregnancy ?
  1. Amlodipine
  2. Methyldopa
  3. Losartan
  4. Bisoprolol
ব্যাখ্যা
ACE inhibitor and ARB are contraindicated 

Davidson Box: 16.72
২৪.
Antihypertensive contraindicated in gout
  1. ক) Thiazide
  2. খ) ARB
  3. গ) Beta blocker
  4. ঘ) Alpha blocker
ব্যাখ্যা
Reference: Davidson 23rd; P-514
২৫.
All of the following endocrine diseases causes HTN except
  1. Hypothyroidism
  2. Hyperthyroidism
  3. Acromegaly
  4. Addison's disease
২৬.
Which of the following is the most common symptom attributable to pulmonary hypertension ?
  1. ক) Fatigue
  2. খ) Exertional dyspnea
  3. গ) Syncope
  4. ঘ) Peripheral edema
ব্যাখ্যা
Most common symptom attributable to pulmonary hypertension is exertional dyspnea. Other symptoms are fatigue, angina pectoris (RV ischemia), syncope, near syncope & peripheral edema.
২৭.
Ideal time for taking antihypertensive drug is?
  1. ক) Once at night
  2. খ) Once in the morning
  3. গ) With food
  4. ঘ) When required
ব্যাখ্যা
Explanation: Blood pressure is higher during the daytime
২৮.
Specialised investigation of hypertension is
  1. Urine RME
  2. 12 lead ECG
  3. Thyroid function test
  4. CXR
২৯.
Angiotensin II doesn’t work by
  1. By Decreasing The Sensitivity Of The Baroreflex
  2. By Decreasing The Secretion Of Vasopressin (ADH) And ACTH
  3. Rise In Systolic And Diastolic Blood Pressure.
  4. Constriction Of Efferent Arteriole
৩০.
Dopamine-depleting drug is
  1. OCP
  2. Methyldopa
  3. metoclopramide
  4. Antidepressants
৩১.
Normal systolic Blood pressure is..
  1. ক) < 120 mmHg
  2. খ) < 130 mmHg
  3. গ) 120-139 mmHg
  4. ঘ) 130-139 mmHg
ব্যাখ্যা
Explanation
৩২.
Antihypertensive indicated for isolated systolic hypertension is
  1. Losartan
  2. Amlodipine
  3. Frusemide
  4. Ramipril
ব্যাখ্যা
Isolated systolic hypertension: 
1. Calcium channel blockers (dihydropyridine)
2. Thiazides or thiazide-like diuretics
৩৩.
Antihypertensive contraindicated in gout
  1. ক) Thiazide
  2. খ) ARB
  3. গ) CCB
  4. ঘ) Beta blocker
ব্যাখ্যা
Reference: Davidson 23rd; P-514