Family Medicine Hypertension: Review Questions Thomas F. Heston, MD, FAAFP Dr. Heston is a physician in Family Medicine and nuclear medicine, Kellogg, ID, and Online Education Coordinator, University of Health Sciences Antigua, St. John’s, Antigua. Choose the single best answer for each question.
	1. Which of the following statements regarding the epidemiology of essential (primary) hypertension in the United States is correct? Mexican American women have a higher prevalence of essential hypertension than do Mexican American men More women than men have essential hypertension Non-Hispanic black adults have a lower prevalence of essential hypertension than do Mexican American adults Non-Hispanic white men have the lowest prevalence of essential hypertension The overall prevalence of essential hypertension in Americans is approximately 20% Click here to compare your answer. 2. Which of the following statements about the causes of secondary hypertension is NOT true? Causes of secondary hypertension occur more frequently than do those of essential hypertension Cocaine and methamphetamine use may cause secondary hypertension Dietary factors that may cause secondary hypertension include excessive intake of caffeine, licorice, or alcohol Medications associated with secondary hypertension include corticosteroids and oral contraceptives Potential causes of secondary hypertension include hyperthyroidism, Cushing’s syndrome, and primary aldosteronism Click here to compare your answer.		3. Which of the following statements regarding drugs used to treat hypertension is NOT true? Angiotensin-converting enzyme inhibitors can worsen renovascular disease ß-Blockers are contraindicated in patients with congestive heart failure ß-Blockers are relatively contraindicated in patients with heart block Calcium channel blockers can worsen congestive heart failure Diuretics can exacerbate gout Click here to compare your answer. 4. Which of the following is the most common cause of death in patients whose hypertension is under control? Aortic dissection Coronary artery disease Left ventricular dysfunction Renal failure Stroke Click here to compare your answer. 5. Which of the following statements is INCORRECT regarding the diagnosis of hypertension? About 30% of people diagnosed with hypertension are unaware that they have the disease Blood pressure should be accurately measured twice daily on 3 separate days before the diagnosis is made Hypertension is usually an asymptomatic disease Only approximately 10% of patients on medical therapy for hypertension have their blood pressure controlled to less than 140/90 mm Hg Small blood pressure cuffs tend to overestimate blood pressure Click here to compare your answer.
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