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Management of Hypertension in Prison Populations

Diagnosis

1. Inmates ideally should refrain from _____ during the 30 minutes prior to the measurement.

A. Smoking

B. Eating

C. Ingesting caffeine

D. All of the above


2. Inmates in which range should have their blood pressure rechecked within 2 months and referred to a clinician for classification and baseline evaluation if hypertension is confirmed?

A. If SBP is greater than or equal to 160 mm Hg or DBP is greater than or equal to 100 mm Hg.

B. If SBP is 140 - 159 mm Hg or DBP is 90 - 99 mm Hg.

C. If SBP is 120 - 139 mm Hg or DBP is 80 - 89 mm Hg and they have cardiovascular risk factors.

D. If SBP is 120 - 139 mm Hg or DBP is 80 - 89 mm Hg and they do not have cardiovascular risk factors.


Classification

3. When systolic and diastolic blood pressures fall into different categories, the lower stage should be used to classify blood pressure status.

A. True

B. False


Baseline Evaluation

4. The evaluation of persons with documented hypertension has which major objective?

A. To identify known causes of high blood pressure.

B. To assess the presence or absence of target organ damage and cardiovascular disease, the extent of the disease, and the response to therapy.

C. To identify other cardiovascular risk factors, concomitant disorders, or lifestyle concerns that may define prognosis and guide treatment.

D. All of the above.


Treatment

5. The primary focus of treatment should be achieving the target _____ blood pressure.

A. Systolic

B. Diastolic

C. Both (A) and (B)

D. None of the above


6. Once the diagnosis of hypertension is confirmed, nonpharmacological treatment with _____ is recommended.

A. Weight reduction

B. Sodium restriction

C. Increased aerobic exercise

D. All of the above


7. Lifestyle modifications should be the initial treatment for all inmates with prehypertension.

A. True

B. False


8. Age and gender do not markedly affect responsiveness to antihypertensive medications.

A. True

B. False


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