10 MCQs with Answers
Hello my name is raja today i will discuss about the multiple choice questions on the anti-hypertensive drugs our first question is that which of the following anti-hypertensive drug dilates primarily the arteries and arterioles causes reflex tachycardia and increase in plasma renin concentration okay so the antihypertensive drug that work on the arterial
Arterions arterioles has smooth muscle artery has smooth muscle so that should relax the smooth muscle and that should call the reflex tachycardia that increases renin concentration and in secretion concentration so these all should go go to the choice d hydrologin not the engineering converting enzyme inhibitor not the both the arterial venus dielectric
Nitroglycerin no so that is not for parapayment that is the calcium chain blocker so that choice should be hydrologic these the choice okay i’ll go to the our second question is that a 51 year old man was diagnosed with primary hypertension and started on an anti-hypertensive drug that lowers blood pressure by diminishing the injury tensions to and increasing
Bradycaine so it should be an ace inhibitor angiotensin converting enzyme inhibitor okay and it is the inner lab pre okay it is that it also prevent the breakdown of the bradycardin so that may cause that may cause some type of cough as the adverse effect of some individual okay so this is the first 51 year old person with primary hypertension that means there
Is no secondary cause of hypertension there is an essential hypertension started on an anti-hypertensive drug that lowers blood pressure by diminishing injuries in two and increasing brady kinin bradycandin is also a basal dilator and also we are diminishing the injuries in two so the answer should be in a love plane okay then we’ll go to question number three
Is here a 61 year old woman has diabetic nephropathy diabetic is a systemic disease it may damage any organ system including the kidneys eyes everything is involved as a pathogenesis of diabetes so a 61 year old woman has diabetic nephropathy chronic cough chronic cough may be a complication of bronchial asthma chronic bronchitis or any other infection maybe
Copd and hypertension which the following anti-hypertension drug will be suitable for that women okay so our answer should be here that is the low certain loss or then work on the receptors okay it is it work on the ngo tension to receptors okay it does not work like that of the usual injunction converting enzyme inhibitors and the loss of 10 does not increase
The action of the bradycaine so there will be no cough okay and also losartan is a good drug for diabetic nephropathy okay we will not give hydrocloth hygiene that will cause the the altered blood sugar level it may be increased 18 is a that is a medication that is used in case of hypertension okay there is the beta blocker the selective beta blocker okay but
It is still may cause sometimes may cause cough although chance is less in case of selective beta blocker but this is not a good drug for this scenario okay kept brain is the medication that may cause chronic cough so our choice should be low certain a 46 year old man with long standing severe hypertension severe hypertension means diastic blood pressure 130
Millimeter of mercury above systolic blood pressure 200 millimeter mercury above and this person have chance to develop aortic dissection okay so the wall of the aorta will be splitted and there will be a second channel will form something it may lead to rupture due to severe pressure may be a complication of atherosclerosis may be a complication of connective
Tissue disuret like that of the marfan syndrome or a hella dental syndrome which of the following drugs should be the initial drug of choice in lowering blood pressure in that passion this is a hypertensive emergency our time is very important we like to give some medication intravenously and to get action within a few minutes and that is the drug the sodium
Nitro prusite this is the drug for this scenario in emergency hypertension image emergency due to aortic dissection and long-standing severe hypertension a medical student is very concerned about his growing boldness young medical students certainly he should be concerned people may make fun of him eluded by a tv advertisement he bought an anti-bald lotion he
Read the literature of that medication and found that the active ingredient in that medication was an anti-hypertensive drug what is that anti-hypertensive drug okay like that of the market like rogaine or other brand lotion for the boldness and it is managed by means of minoxidil the idea is that patient age should be less than 40 and it should be continuously
Put on the bolded part otherwise it will not sustain so but it is a medication with good good work on regrowing the bold scalp but it should be used almost on daily basis for a long time otherwise once it is stopped there will be no hair on the bold scalp but it may cause harsh suturism in the female so females should not touch or use this minoxidil so our choice
Should be minoxidil which is the following drug inhibit juxtaglomerular cell of the kidney reduces angiotensin one and two and and the steroid so if you remember that what is the secretion of juxtaglomerular cell renin so something is blocking the renin when in in the efferent artery in the tunica media will get the cell juxtaglomerular cells and the purpose of
This cell that releases the injured tension that will convert the angiotensinogen into angiotensin that will the duster glomerulously produce renin renin will work on the liver okay that will convert the angiotensinogen to angiotensin 1 that will be converted into the lung angiotensin one to injection 2 okay and also work on the on the adrenal cortex to produce
The endosterol okay so idea is that here we are using something which is suppressing the juxtaglomerular cell so no renin is produced our answer should be alice kylin ali sky that is the renin inhibitor from the juxtaglomerular cell this is the drug of choice a dentist had found gingival hyperplasia in a 71 year old patient the patient has peripheral edema
And history of chronic constipation patient is also taking medication for hypertension and occasional chest pain what type of medication causes this adverse effect gingival hyperplasia is caused by calcium channel blocker it is the drug of choice for management of hypertension plus angina may be the prince metal angina it causes peripheral atom and constipation
Which of the following antihypertensive drug is alpha 2 adrenergic receptor agonist and the currently acting sympatholytic agent that decreases sympathetic outflow from the brain okay this is important to remember that that is the methyl dopa that is not an antagonist there is a alpha to adrenergic receptor agonist there is the answer should be the methyl dopa
Okay now our question number nine which of the following anti-hypertensive drug are more effective in white than in black passions white means people of european descent black means people of african descent in young compared to elderly patient and are discouraged to use in copd okay so that is discouraged to use in copd even the selected beta blocker may cause
Sometimes problem okay so our answer should be in case of nine answer should be a beta blocker okay we keep the selective beta blocker that may not cause problem but it is not absolute so if the dose is increased or person’s metabolism is not good even beta blocker may cause respiratory problem also diabetes is another another contraindication for the beta blockers
So that is the drug that drug is very effective in white person young person okay there is the drug answer should be a okay we got that antihypertensive drug are more effective in white than in black patient young compared to entirely patient and not in copd answer should be beta blocker okay we got that now we got to our last question a 60 year old man with
Hypertension bladder obstructive symptoms benign prostatic hyperplasia what is the preferred antihypertensive drug for this man so he is a man so he has prostate gland after the age of 55 almost all male has some prostate problem and the prostate surround the prosthetic part of the urethra if it is hypertrophic then it may block the passage from the bladder
To the urethra to the to go outside okay so there will be dribbling hesitance or problem in maturation there may be retention of urine sometimes so if we can shrink the soft soft tissue at the blood or neck in the prostate then person can can mixture it very easily so our answer should be the the answer should be the doxa joseph there is the drug of choice and
That’s all about my presentation on 10 multiple choice questions on anti-hypertensive drug i request everyone to support me to subscribe me and also please open the textbook and confirm all the answers so our answer should be in the last page okay this is the answer so and i wish everyone have a good day please share the information with your friend any question please ask me
Transcribed from video
MCQs in ANTIHYPERTENSIVE DRUGS By Dewan Raja