Practice Test Geeks(CHS) Certified Hypertension Specialist Practice Test
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Diagnosis and Evaluation Flashcards

7 cards from real CHS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Diagnosis and Evaluation flashcards as text

  1. Carotid intima-media thickness (CIMT) measurement in hypertension is used primarily to:

    Answer: Detect subclinical atherosclerosis and stratify cardiovascular risk

    Increased CIMT is a marker of subclinical atherosclerosis and independently predicts cardiovascular events in hypertensive patients.

  2. A urinary catecholamine screen for pheochromocytoma is best collected as:

    Answer: A 24-hour urine specimen for metanephrines and catecholamines

    24-hour urine collection for fractionated metanephrines and catecholamines provides the most sensitive and specific screen for pheochromocytoma.

  3. A 40-year-old presents with hypertension, moon facies, central obesity, and purple abdominal striae. The best initial biochemical test is:

    Answer: 24-hour urinary free cortisol or late-night salivary cortisol

    Late-night salivary cortisol or 24-hour urinary free cortisol are first-line screening tests for Cushing syndrome.

  4. Which echocardiographic parameter best quantifies hypertensive left ventricular hypertrophy?

    Answer: Left ventricular mass index (LVMI)

    Left ventricular mass index (LVMI), indexed to body surface area or height, is the echocardiographic gold standard for detecting and quantifying LVH.

  5. In a hypertensive patient, renal artery Doppler showing a resistive index (RI) >0.80 suggests:

    Answer: Intrinsic renal parenchymal disease with poor revascularization prognosis

    A renal RI >0.80 indicates high intrinsic vascular resistance from parenchymal disease, predicting poor outcomes with renal artery intervention.

  6. Masked hypertension is defined as:

    Answer: Normal office BP with elevated out-of-office (ABPM or home) BP

    Masked hypertension occurs when office BP is normal but out-of-office measurements reveal true hypertension, carrying significant cardiovascular risk.

  7. A 66-year-old man has a systolic BP of 168 mmHg and diastolic of 72 mmHg on repeated measurements. This pattern is most consistent with:

    Answer: Isolated systolic hypertension

    Isolated systolic hypertension (ISH) is defined as systolic BP ≥140 mmHg with diastolic BP <90 mmHg and is the most common hypertension pattern in older adults.