CHS Hypertension in Special Populations 3

Question 1

Which BP target is recommended by ACC/AHA 2017 guidelines for most adults aged ≥65 years with hypertension and high cardiovascular risk?

Accepted Answer

<130/80 mmHg

Answer

The 2017 ACC/AHA guidelines recommend a target of <130/80 mmHg for older adults with hypertension who are not institutionalized, based on SPRINT trial data.

Question 2

A woman with pre-existing hypertension becomes pregnant. Which antihypertensive is safest and most commonly used throughout pregnancy?

Accepted Answer

Methyldopa

Answer

Methyldopa has the longest safety record in pregnancy and is still widely used, though labetalol and nifedipine are also acceptable alternatives.

Question 3

In a child with hypertension secondary to coarctation of the aorta, BP readings will typically show which characteristic pattern?

Accepted Answer

Higher BP in upper extremities than lower extremities

Answer

Coarctation of the aorta causes BP to be higher in the arms than legs due to obstruction of flow distal to the subclavian artery origin.

Question 4

A patient with hypertension and type 2 diabetes has a urine albumin-to-creatinine ratio of 320 mg/g. What is the recommended BP target?

Accepted Answer

<130/80 mmHg

Answer

For patients with diabetes and hypertension, a target of <130/80 mmHg is recommended by ACC/AHA and ADA guidelines to reduce cardiovascular and renal outcomes.

Question 5

Which condition, if untreated, is associated with the highest risk of severe hypertension and hypertensive emergency during pregnancy?

Accepted Answer

Superimposed preeclampsia on chronic hypertension

Answer

Superimposed preeclampsia on pre-existing chronic hypertension carries the highest risk for severe hypertension, placental abruption, and maternal-fetal complications.

(CHS) Certified Hypertension Specialist Practice Test

(CHS) Certified Hypertension Specialist Practice Test

CHS Hypertension in Special Populations 3