What’s New In Hypertension Since The JNC 7 Guidelines

Post Test

A score of 70% must be achieved to receive continuing education credits.
 

1. Which of the following is a reason that we are still talking about hypertension:
a. It is prevalent
b. It is associated with decreased risk of CV events, particularly stroke, heart failure, and kidney disease
c. Controlling BP leads to a reduction in events such as heart failure, stroke, and myocardial infarction
d. A and C
e. All of the above
2. The JNC 7 specific blood pressure goals for the general population and high-risk groups are:
a. <150/100 and <140/90 respectively
b. <140/90 and <130/80 respectively
c. the same for both groups: <140/90
3. Home measurement of 135/85 mmHg is generally considered to be hypertensive.
  True
  False
4. Self-measurement of blood pressure provides information useful for:
 a. Assessing patients response to antihypertensive treatment
 b. Predicting events
c.  Improving adherence with therapy
d. A and B
e. All of the above
5. Home BP is more strongly related to target organ damage, but has a worse prognostic accuracy than office BP.
True
False
6. Which of the following are barriers that a patient must overcome in order to control blood pressure:
 a. Lack of understanding the disease state
 b. Access to care and cost of medications
c. Fears and concerns about side effects of medications
d. B and C
e. All of the above
7. Therapeutic (Clinical) Inertia is the failure of health care providers to initiate or intensify therapy when indicated.
 True
False
8. Retrospective analysis has shown that the closer to blood pressure goal a patient becomes, the less providers initiate or change the patient’s treatment.
True
False
9. Most patients need only one medication to bring them to the recommended <140/90.
  True
  False
10. Which of the following is true concerning the ACCOMPLISH (Jamerson, et al) study:
 a. It provides compelling evidence for initial combination therapy with ACEI/CCB
b. It achieved exceptional BP control with ACEI based combination therapy
c. The results challenge current diuretic based guidelines
d. B and C
e. All of the above


What’s New In Hypertension Since The JNC 7 Guidelines

 Evaluation

Please rate this activity on the following scale:
4 - Excellent        3 - Good        2 - Fair        1 - Poor

1.Based on the content presented I am better able to:  
  • Understand the scope of the hypertension problem, evidence for BP control, goals for BP control, and improving BP control rates
   4        3        2        1
  • Understand the reasoning for supporting self-monitored home BP measurement
   4        3        2        1
  • Understand the barriers toward more effective BP control, including those that involve the Health Care Provider, Patient, and Payer (Health Care System), with special emphasis on the role of the provider and the importance of Clinical Inertia
   4        3        2        1
  • Understand the newer BP trials since JNC 7 and their clinical implications on the treatment of hypertension
  4        3        2        1
2. Activity met my expectations    4        3        2        1  
3. Activity was free of bias    4        3        2        1
4. Activity content was understandable    4        3        2        1
5. Presenter was free of bias    4        3        2        1
6. Method of learning was beneficial    4        3        2        1
7. Presenter covered material to extent expected    4        3        2        1
8. What other topics are of interest to you?


Due to the content of this activity, I will change my practice patterns by:

Providing appropriate education to patients with Hypertension
Provide JNC 7 guidelines to providers
My practice patterns will not change
Other    Specify:

Continuing education implies quality improvement in behavior. As part of our quality improvement process, NAMCP/AAMCN will contact you 6 months from your post test submission to monitor change.


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