1.
All are included in the definition of resistant
hypertension as per Indian Hypertension Society Guidelines III recommendations:
a)
Unable to attain BP <140/90 mm of hg in
overall population
b)
Unable to attain BP <130/80 mm of hg in DM
and CKD cases
c)
2drugs +1 diuretic at maximum tolerable dose
d)
3 drugs + 1 diuretic at maximum tolerable dose
e)
Does not include newly detected case of systemic
hypertension
f)
Needs at least two or three elevated readings in
office settings despite adherence
2.
Overall prevalence of resistant hypertension is
likely to be :
a)
13%
b)
30%
c)
1%
d)
43%
3.
All are “Pseudo resistance” EXCEPT:
a)
Suboptimal BP recording techniques
b)
White coat effect
c)
Poor adherence to antihypertensive
d)
Thick walled arteries in elderly (Osler’s sign)
4.
All statements about White Coat hypertension are
correct EXCEPT:
a)
Its benign and can be ignored
b)
25% people with HTN in office show normalisation
of BP in Ambulatory BP monitoring
c)
It is a cause for pseudo resistant hypertension
d)
Office BP recording is higher than home /
ambulatory BP recordings
5.
All are pathophysiological basis for Resistant
hypertension EXCEPT:
a)
Obesity
b)
Insulin resistance
c)
Sodium retention
d)
Increased sympathetic nervous system activity
(SNS)
e)
Increased aldosterone sensitivity due to
visceral obesity
f)
OSA
g)
Young age (<65 years)
6.
NSAIDs are notorious in causing resistant
hypertension because
a)
Inhibit prostacyclin synthesis
b)
Decrease renal blood flow
c)
Sodium and water retention
d)
Counter acts all anti hypertensives except
calcium channel blockers
e)
COX-2 inhibitors are also causative
f)
All of the above
7.
The most common medical cause for Resistant
hypertension is :
a)
Renal parenchymal disease
b)
Renal artery stenosis
c)
Primary hyperaldosteronism
d)
OSA
e)
Phaeochromocytoma
f)
Cushing syndrome
g)
Hyper/hypo parathyroidism
h)
Aortic coarctation
i)
Intracranial tumors
8.
All statements are true regarding medications in
resistant hypertension EXCEPT:
a)
At least one of the antihypertensive should be
given bedtime
b)
Night time antihypertensive gives better 24hour
mean BP control than day time dosage
c)
24 hour mean BP is a good cardiovascular
morbidity marker
d)
Twice daily dosage of ARB/ACE id better than OD
dosage
e)
None of the above
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