MCQs and Quizzes - Multiple Choice Questions with Answers

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*A 65-year-old black female comes to your office for a follow-up of persistently elevated blood pressure. Her BMI is 25, she doesn’t smoke or drink alcohol, and she gets regular physical exercise. She is anxious to lower her blood pressure because she knows it affects heart disease and she has a sister who just died of heart disease. You decide the first step in therapy should be restricting the diet in:

  • A. Calcium
  • B. Cholesterol
  • C. Fat
  • D. Sodium
  • Correct Answer: Option D

What percentage of patients with hypertension are salt sensitive?

  • A. 10-25%
  • B. 30-40%
  • C. 50-60%
  • D. 70-80%
  • Correct Answer: Option C

How much more likely are patients with untreated hypertension to suffer a heart attack or stroke?

  • A. Half as likely
  • B. 1.5 times more likely
  • C. 2-3 times more likely
  • D. 5-6 times more likely
  • Correct Answer: Option C

Which of the following is a potent vasoconstrictor, adding to hypertension?

  • A. Renin
  • B. Angiotensinogen
  • C. Angiotensin I
  • D. Angiotensin II
  • Correct Answer: Option D

A patient is admitted to the intensive care unit for hypertensive emergency. They are given sodium nitroprusside and labetelol to lower their blood pressure, ensuring diastolic pressure is no less than 100-110mmHg. How much should the systolic pressure be lowered?

  • A. It should not be lowered
  • B. By 25%
  • C. By 50%
  • D. By 75%
  • Correct Answer: Option B

Which of the following ARB has the highest AT1 affinity and shortest half-life?

  • A. Losartan (Cozaar)
  • B. Valsartan (Diovan)
  • C. Candesartan (Atacand)
  • D. Eprosartan (Teveten)
  • Correct Answer: Option B

Which of the following, along with angioedema, is far less likely to occur with ARBs when compared to ACE inhibitors as other enzymes are capable of generating angiotensin II?

  • A. Dry cough
  • B. Hyperkalemia
  • C. Renal failure
  • D. Hypotension
  • Correct Answer: Option A

Angiotensin receptors blockers (ARBs) would have no affect on which of the following (component of a separate system)?

  • A. Renin
  • B. Kininase
  • C. Bradykinin
  • D. Angiotensin I
  • Correct Answer: Option C

Which of the following ACE inhibitors is NOT a prodrug?

  • A. Captopril
  • B. Enalapril
  • C. Lisinopril
  • D. Benazapril
  • Correct Answer: Option A

Which of the following is NOT a side effect of ACE inhibitors?

  • A. Dry cough
  • B. Hypokalemia
  • C. Angioedema
  • D. Hypotension
  • Correct Answer: Option B