Hypertensive Emergencies – Post Test

Which of the following end organs is LEAST susceptible to hypertensive end organ damage?

Which of the following is NOT a pathophysiological feature of hypertensive encephalopathy?

Which one of the following symptoms is LEAST likely to to be a manifestation of underlying hypertensive organ damage?

A 75-year-old man reports an episode of right sided upper limb weakness associated with speech deficit lasting approximately 60 minutes occurring 2 hours prior to presentation. It then resolved fully and, by the time of examination, he has no neurological deficit. He has a history of hypertension for which he takes bendroflumethazide but is otherwise well. His physical examination is normal other than a BP of 205/115mmHg.

Which of the following statements is MOST appropriate?

A 54-year-old man with known hypertension presents with confusion and headache. He has a blood pressure of 230/125mmHg and, after initial diagnostic work-up, is considered to have hypertensive encephalopathy.

Which of the following is his target mean arterial blood pressure (MAP) one hour after commencement of antihypertensive treatment?

A 65-year-old woman presents with a sudden onset left sided weakness. She is a known hypertensive on atenolol. On examination she has a BP = 200/105 and has a marked left sided hemiparesis.

Which one of the following statements is LEAST appropriate?

Which one of the following statements about intravenous labetalol is correct?

A 68-year-old woman presents to the emergency department following a brief grand mal seizure preceded by headache and confusion. She is known to have hypertension and has had a previous acute myocardial infarction. On examination, she has the following positive findings:

BP = 215/120, Temp = 37.6 degrees centigrade, GCS = 14/15.

Which one of the following is the LEAST likely diagnosis?

In which one of the following hypertensive emergencies should intravenous sodium nitroprusside be avoided?

A 54-year-old man presents with sudden onset retrosternal chest pain radiating through to the back. He has a history of hypertension for which he takes atenolol but is otherwise well. On examination, he is in pain, has a pulse of 105 and a blood pressure of 185/105. He has an early diastolic murmur and his chest is clear. His ECG reveals ST segment elevation in the inferior leads and his CXR reveals a widened mediastinum.

Which of the following statements is most appropriate?