RXJ164 Beyond the Numbers: Improving Hypertension Detection and Intervention
Course Pre-Test
Which of the following describes 'masked hypertension'?
Elevated BP in clinic but normal at home
*Normal BP in clinic but elevated at home
Elevated BP in both settings (clinic and at home)
Elevated BP only at night
Which condition is present in >80% of adults with resistant hypertension?
Chronic kidney disease
*Obstructive sleep apnea
Diabetes mellitus
Heart failure
How often should adults ≥40 years or those at higher risk be screened for hypertension?
*Semiannually
Every 5 years
Annually
Monthly
Course Test
According to ACC/AHA guidelines, which blood pressure reading best represents Stage 1 hypertension?
118/76 mmHg
124/78 mmHg
*132/84 mmHg
148/96 mmHg
A 45-year-old woman with clinic BP 142/92 mmHg and home BP 136/88 mmHg meets which classification?
Normal
Elevated
Stage 1 hypertension
*Stage 2 hypertension
Which of the following describes 'masked hypertension'?
Elevated BP in clinic but normal at home
*Normal BP in clinic but elevated at home
Elevated BP in both settings (clinic and at home)
Elevated BP only at night
Which of the following is a non-modifiable risk factor for hypertension?
Obesity
*Older age
High-sodium diet
Tobacco use
Which condition is present in >80% of adults with resistant hypertension?
Chronic kidney disease
Diabetes mellitus
Heart failure
*Obstructive sleep apnea
Which is considered the gold standard for confirming hypertension?
Single clinic BP
Home BP log
*Ambulatory blood pressure monitoring (ABPM)
Pharmacy kiosk BP
How often should adults ≥40 years or those at higher risk be screened for hypertension?
*Semiannually
Every 5 years
Annually
Monthly
A 28-year-old healthy woman with normal past BP readings should be screened how often?
Monthly
*Annually
Semiannually
Every 3 years
Which lifestyle change listed below is associated with the largest average SBP reduction?
Salt reduction
*Weight loss
Exercise
Alcohol moderation
Which of the following best describes the role of combination therapy in hypertension management?
Increases side effects and should be avoided
Reserved only for resistant hypertension
*Can improve control and reduce time to target, especially in Stage 2 HTN
Used only after 3 failed monotherapies
Correct Answers Explained
Question #:
Stage 1 hypertension = SBP 130–139 or DBP 80–89.@
≥140/90 on repeated assessment is Stage 2.@
Two other types of hypertension with which to be familiar include white coat hypertension and masked hypertension. White coat hypertension refers to elevated blood pressure readings in the clinical setting that are not confirmed by out-of-office measurements. Conversely, masked hypertension is characterized by normal readings in the office but elevated pressures when measured at home or with ambulatory monitoring. Both conditions highlight the importance of confirming office blood pressure findings with out-of-office assessments.@
Age, race, and family history are non-modifiable.@
Obstructive sleep apnea is strongly linked with resistant hypertension.@
Ambulatory blood pressure monitoring (ABPM) is the gold standard for confirming hypertension.@
USPSTF recommends every 6 months for high-risk adults.@
Low-risk adults under 40 = annual screening.@
Weight loss can reduce SBP by 5–20 mmHg per 10 kg.@
Combination therapy is recommended earlier, especially in Stage 2.
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