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Arterial hypertension



1. The most common complications of systolic arterial hypertension:

a) Myocardial infarction

b) Brain stroke

c) Acute renal failure

d) Myocardial infarction and renal failure

e) Brain stroke and renal failure

f) Myocardial infarction and brain stroke

2. Is there a relationship between hypertension and: 1) hyperkalemia, 2) hyperreninemia, 3) hyperangiotensinemia, 4) creatine kinase, 5) hyperaldosteronism?

a) Correct -, 2, 5

b) Correct - 2, 3, 5

c) Correct - 1, 3, 4

d) Correct - 2, 3

e) That's right-everything

3. Contraindications for therapy with thiazide diuretics:

a) Electrolyte disorders

b) Hyperuricemia

c) Metabolic syndrome

d) Edema of the lower extremities

e) Anasarca

4. Arterial hypertension in patients with gout, the most optimal use is:

a) Spironolactone

b) Hypothiazide

c) Amiloride

d) Losartan, amlodipine

5. The most rapid antihypertensive effect with intravenous administration is caused by:

a) Urapidil

b) Clonidine

c) Sodium nitroprusside

d) Metoprolol

e) Furosemide

6. Inhibit the production of renin in patients with arterial hypertension:

a) Beta-blockers

b) Aliskiren

c) Enalapril

d) Valsartan

e) None of the above

7. Which of these antihypertensive drugs reduces the activity of renin?

a) Enalapril

b) Hypothiazide

c) Bisoprolol

d) Spironolacton

e) All of the above

8. For the treatment of acute hypertensive encephalopathy, the most suitable:

a) Labetalol

b) Sodium nitroprusside

c) Urapidil

d) None of the above

9. In which of the forms of arterial hypertension is anemia often determined?

a) Essential hypertension

b) Hypertension in chronic renal failure

c) Hypertension in Cushing's syndrome

d) Hypertension in acromegaly

e) In all the specified forms

10. With a significant degree of aortic coarctation, the systolic pressure on the legs:

a) Is 10-20 mm higher than the systolic pressure on the hands

b) Is 45-80 mm higher than the systolic pressure on the hands

c) Is equal to the systolic pressure on the hands

d) Lower systolic pressure on the hands

11. Normalization or increase of diastolic pressure in patients with aortic valve insufficiency occurs as a result of:

a) Progression of diffuse glomerulonephritis

b) The use of treatment

c) Repeated kidney infarctions, diffuse glomerulonephritis

d) Independently, without any treatment

12. What conditions in patients with essential hypertension indicate a high degree of cardiovascular risk:

a) Left ventricular hypertrophy, microalbuminuria

b) Overweight, hypercholesterolemia, smoking

c) Chronic kidney disease stage 3a

d) Suffered a transient ischemic attack

e) Angina pectoris of functional class IV

13. Drugs for long-term use in pregnant women with hypertension include all above exept:

a) Methyldopa

b) Metoprolol

c) Enalapril

d) Bisoprolol

e) Nifedipine

14. Arterial hypertension in the elderly is characterized by:

a) A decrease in systolic pressure, with normal or reduced diastolic

b) Postural circulatory reactions

c) An increase in the number of cardiovascular complications

d) An increase in systolic pressure with normal or reduced diastolic

e) All of the above is incorrect

 

15. If essential hypertension occurs as aisolated deseasein the elderly, blood pressure should be reduced:

a) Below 140/90 mm Hg

b) By 20-25 % of the initial level

c) Diastolic pressure up to 90 mm Hg.

d) Only during hypertensive crises

16. What diuretics can most quickly lead to salt depletion of the body?

a) Furosemide

b) Amiloride

c) Triamterene

d) Spironolacton

17. What antihypertensive drug is rational to add to a patient with essential hypertension with uneffectiveness of the combination of enalapril and hypothiazide in mid-therapeutic doses?

a) Amlodipine

b) Valsartan

c) Urapidil

d) Spironolacton

e) Nebivolol

e) Metoprolol

18. A patient with essential hypertension in the hospital was given a dose of valsartan 40 mg. On the 3rd day after discharge (going to work), blood pressure increase to 180/110 mm Hg. Your tactic:

a) Replace valsartan with another antihypertensive agent

b) Add nifedipine to valsartan

c) Increase the dose of valsartan and add amlodipine

d) Do not change the dose of valsartan

e) Add hypothiazide to valsartan

19. In the treatment of patients with hypertension with concomitant diabetes mellitus, the following should be excluded:

a) Spironolacton

b) Bisoprolol

c) Thiazide diuretics

d) Alpha-blockers

e) Indapamide

20. In which of the following conditions is not rational therapy with methyldopa in the presence of arterial hypertension in the patient?

a) Systemic lupus erythematosus

b) Impaired renal function

c) Diencephalic disorders

d) Pregnancy



  

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