Medical Academics

Answer 001    We can start - Diuretic (though many dont start with this) or ACEI / ARB or Calcium Blocker  so we can start  Enalapril - 5mg half bid or       Ramipril - 2.5mg OD or        Losartan - 50mg half bid or       Telmisartan  20mg OD, etc.  or  Amlodipine - 5mg OD  after 1 week or 10 days, if BP doesnt come down below 160 /100 - we can increase dose  enlapril to 5mg bid.    Ramipril to 5mg OD.    losartan - to 50mg bid.  telmi to 40mg OD.  or  amlodipine to 10mg od  if still after one week no response - we can give 2 drugs  to ACEI/ARB - we can add diuretic  ramipril-H or losartan-H or telmisartan - H  (H is usually hydrochlorthiazide 12.5mg)  or add calcium blocker to the ACEI/ARB  Answer 002   HTN + angina  - Prefer - betablocker (metoprolol 12.5 to 25mg bid) or amlodipine 5mg OD if already on beta ...

  Question 001 -  Mention common anti hypertensive drugs - starting dose - how much you will increase (maybe every week or so - till target BP of about 130-140/80-90 is reached)  Question 002 -  Mention any anti-HTN drug you will prefer / any anti-HTN drug you will avoid in the following conditions - Hypertension Plus ______  a) Angina on exertion  b) Heart failure  c) Bronchial asthma  d) Creatinine elevated > 2.0 or so  e) Diabetes  Question 003 -  This 45 year male smoker & hypertensive pt came with chest pain and sweating from about 8 hours. BP120/80. Heart and lungs normal.  a) What is ECG diagnosis b) What findings made you make that diagnosis  c) Write a prescription for him in ICU -  d) if ECG was normal - what would you have done with this  pt? Question 004 -  Normal PR interval in mm & in secs  Question 005 -  Drug of choice for a pt with PSVT (paroxysmal supraventricular tachy...