Tests. The output level of knowledge.

Topic 1. Essential hypertension.

Option 1
1. Which drug should be used primarily for the treatment of hypertension in patients who have
coronary heart disease with postinfarction cardiosclerosis in disfunction of left ventricular systolic
function?
A. Ramipril
B. Hypothiazide
C.Verapamil
D. Propranolol
E. Clonidine

2. Patient, 57 years. For 14 years suffering from diabetes type II. He has swelling of the face and
legs, increased blood pressure to 180-200/110-120 mm Hg. Which antihypertensive drugs should be
used?
A. Enalapril hidrohlortiazid
B. Clonidine
C. Metoprolol
D. Verapamil
E. Nifedipine

3. Patient B., 45 years old. He has hypertension (BP 140/100 mmHg. Heart rate 60 b./min). He has
coronary heart disease, diffuse infarction, HF IIA, FC III, type II, diabetes, subcompensated. What
antihypertensive drugs should be used?
A. Verapamil
B. Enalapril
C. Metoprolol
D. Hipotiazid
E. Valsartan

4. Patient A., 50. He has hypertension (BP 160/105 mmHg, HR = 47/min.). He has coronary heart
disease, diffuse infarction, left bundle branch block, HF and FC II. What antihypertensive drug
should be used?
A. Verapamil
B. Propranolol
C. Reserpine
D. Amlodipine
E. Hypothiazide

5. Patient A., 45. He complains of intermittent headache, dizziness, numbness of the extremities.
OBJECTIVE: pulse 84 b./min, regular, blood pressure 170/95 mmHg. Percussion: left border of the
heart on the left middle clavicular line. Cardiac rhythmic accent II tone of the aorta. The liver was
not enlarged. No edema. The presumptive diagnosis: "hypertension". What laboratory studies
should be performed to clarify the stages of hypertension?
A. Urinalysis
B. Complete blood
C. Coagulogram
D. Proteyinohrama
E. Analysis of urine by Nechyporenko

6. Patient M., 48 years old. Has complaints of frequent headaches and dizziness. Menopause - 5
years. Accent II tone in the second intercostal space to the right of sternum. Blood pressure 165/98
mmHg. ECG - left ventricular hypertrophy. Urin alysis - without pathological changes. Plasma
creatinine 78 mmol / l. What is the diagnosis?
A. Hypertensive disease Stage II, Grade 3, risk 3 (high)
B. Hypertension, stage I, Grade 2, risk 2 (moderate)
C. Hormonal symptomatic hypertension
D. Acute myocardial infarction
E. Chronic glomerulonephritis

7. Patient M., 49 years. Newly diagnosed hypertension. BP 160/105 mm Hg. What is the correct
initial treatment?
A. β-blockers
B. ACE inhibitors
C. Correction lifestyle
D. Diuretic drugs
E. Calcium channel blockers

8. A 56 year old African American female with a history of asthma is diagnosed with hypertension.
Laboratory studies reveal a creatinine of 3.0 mg/dL and a potassium level of 5.6 mg/dL. Which of
the following medications is appropriate to treat her hypertension?
A) Amlodipine
B) Hydrochlorothiazide
C) Enalapril
D) Propranolol
E) Spironolactone

9. In patients with the profile of hypertension «non-dipper» lower blood pressure at night is:
A. More than 10% of the daily level
B. Less than 10% of the daily level
C. More than 20% of the daily level
D. Night blood pressure is not reduced
E. Increase blood pressure in the night

10. D. Male, 18, does not work, smokes 1 pack of cigarettes, per day. BP -160/97 mm Hg in the
morning, during the day - 155/95 mm Hg. The ECG: RV5> RV4. Total cholesterol - 5.9 mmol / l.
Blood sugar -7.1 mmol / l. Waist circumference 108 cm. What is the patient diagnosis?
A. NCD for hypertensive type
B. Hypertensive disease the second stage, the risk-1 (low)
C. Pheochromocytoma
D. Healthy person
E. Hypertensive disease the first degree of risk-3 (high)
 Tests. The output level of knowledge.
Topic 1. Essential hypertension.
Option 2
1. A 56 year old African American female with a history of asthma is diagnosed with hypertension.
Laboratory studies reveal a creatinine of 3.0 mg/dL and a potassium level of 5.6 mg/dL. Which of
the following medications is appropriate to treat her hypertension?
A) Amlodipine
B) Hydrochlorothiazide
C) Enalapril
D) Propranolol
E) Spironolactone

2. In patients with the profile of hypertension «non-dipper» lower blood pressure at night is:
A. More than 10% of the daily level
B. Less than 10% of the daily level
C. More than 20% of the daily level
D. Night blood pressure is not reduced
E. Increase blood pressure in the night

3. D. Male, 18, does not work, smokes 1 pack of cigarettes, per day. BP -160/97 mm Hg in the
morning, during the day - 155/95 mm Hg. The ECG: RV5> RV4. Total cholesterol - 5.9 mmol / l.
Blood sugar -7.1 mmol / l. Waist circumference 108 cm. What is the patient diagnosis?
A. NCD for hypertensive type
B. Hypertensive disease the second stage, the risk-1 (low)
C. Pheochromocytoma
D. Healthy person
E. Hypertensive disease the first degree of risk-3 (high)

4. Patient S., 60 years. Over the last 7 years blood pressure has increased to 210/110 mmHg.
OBJECTIVE: apex beat displaced to the left of the midclavicular line 3 cm in V intercostal place,
diffuse, resistant, signs of left ventricular hypertrophy on the ECG, the fundus symptom Salus”s II.
For what disease are those signs?
A. Hypertension Stage II, grade 3, risk 3 (high)
B. Hypertension and stage 2 level, risk 2 (moderate)
C. Hypertension Stage III, grade 3, risk 4 (very high)
D. NCD
E. The syndrome of malignant hypertension

5. Patient L., 58 years. Suffering from hypertension for 19 years. Treated regularly. 5 years ago
suffered an ischemic stroke. Has complains of dizziness, tinnitus. Blood pressure 150/95 mmHg.
What is the diagnosis?
A. Hypertension, stage III, grade 3, Risk 4 (very high)
B. Hypertension, stage I, grade 2, risk 2 (moderate)
C. Hypertension, stage II, grade 3, risk 3 (high)
D. Mitral valve prolapse with symptomatic hypertension
E. Diencephalic syndrome

6. Patient M., 48 years old. Has complaints of frequent headaches and dizziness. Menopause - 5
years. Accent II tone in the second intercostal space to the right of sternum. Blood pressure 165/98
mmHg. ECG - left ventricular hypertrophy. Urin alysis - without pathological changes. Plasma
creatinine 78 mmol / l. What is the diagnosis?
A. Hypertensive disease Stage II, Grade 3, risk 3 (high)
B. Hypertension, stage I, Grade 2, risk 2 (moderate)
C. Hormonal symptomatic hypertension
D. Acute myocardial infarction
E. Chronic glomerulonephritis

7. Patient M., 49 years. Newly diagnosed hypertension. BP 160/105 mm Hg. What is the correct
initial treatment?
A. β-blockers
B. ACE inhibitors
C. Correction lifestyle
D. Diuretic drugs
E. Calcium channel blockers

8. The patient L., 48 years. For the first time diagnosed with hypertension, second degree. AT-
170/100 mm Hg. What is the most important in making the decision to start treatment?
A. The degree of overall cardiovascular risk
B. Job of the patient
C. The level of diastolic blood pressure
D. Males
E. The desire to be treated

9. Patient S., 60 years for the first time in his life diagnosed with hypertension, third degree. BP -
180/110 mm Hg. What is a manifestation of a high degree of risk of complications in a patient?
A. Prescription illness
B. Functional state of the liver
C. Total cholesterol 7.5 mmol / l
D. BMI - 20 kg/m2
E. The level of pressure

10. In hypertensive patients BMI 20 kg/m2. How does this affect the risk of complications of
hypertension?
* A. positively
B. The risk is small, the patient's obesity grade 1
C. The risk is moderate, the patient's obesity grade 2
D. The risk is great, the patient's obesity grade 3
E. The risk is very high, the patient's degree of obesity 4
 Tests. The output level of knowledge.
Topic 1. Essential hypertension.
Option 3
1. A 56 year old African American female with a history of asthma is diagnosed with hypertension.
Laboratory studies reveal a creatinine of 3.0 mg/dL and a potassium level of 5.6 mg/dL. Which of
the following medications is appropriate to treat her hypertension?
A) Amlodipine
B) Hydrochlorothiazide
C) Enalapril
D) Propranolol
E) Spironolactone

2. In patients with the profile of hypertension «non-dipper» lower blood pressure at night is:
A. More than 10% of the daily level
B. Less than 10% of the daily level
C. More than 20% of the daily level
D. Night blood pressure is not reduced
E. Increase blood pressure in the night

3. D. Male, 18, does not work, smokes 1 pack of cigarettes, per day. BP -160/97 mm Hg in the
morning, during the day - 155/95 mm Hg. The ECG: RV5> RV4. Total cholesterol - 5.9 mmol / l.
Blood sugar -7.1 mmol / l. Waist circumference 108 cm. What is the patient diagnosis?
A. NCD for hypertensive type
B. Hypertensive disease the second stage, the risk-1 (low)
C. Pheochromocytoma
D. Healthy person
E. Hypertensive disease the first degree of risk-3 (high)

4. Patient S., 60 years. Over the last 7 years blood pressure has increased to 210/110 mmHg.
OBJECTIVE: apex beat displaced to the left of the midclavicular line 3 cm in V intercostal place,
diffuse, resistant, signs of left ventricular hypertrophy on the ECG, the fundus symptom Salus”s II.
For what disease are those signs?
A. Hypertension Stage II, grade 3, risk 3 (high)
B. Hypertension and stage 2 level, risk 2 (moderate)
C. Hypertension Stage III, grade 3, risk 4 (very high)
D. NCD
E. The syndrome of malignant hypertension

5. Patient L., 58 years. Suffering from hypertension for 19 years. Treated regularly. 5 years ago
suffered an ischemic stroke. Has complains of dizziness, tinnitus. Blood pressure 150/95 mmHg.
What is the diagnosis?
A. Hypertension, stage III, grade 3, Risk 4 (very high)
B. Hypertension, stage I, grade 2, risk 2 (moderate)
C. Hypertension, stage II, grade 3, risk 3 (high)
D. Mitral valve prolapse with symptomatic hypertension
E. Diencephalic syndrome

6. Patient M., 48 years old. Has complaints of frequent headaches and dizziness. Menopause - 5
years. Accent II tone in the second intercostal space to the right of sternum. Blood pressure 165/98
mmHg. ECG - left ventricular hypertrophy. Urin alysis - without pathological changes. Plasma
creatinine 78 mmol / l. What is the diagnosis?
A. Hypertensive disease Stage II, Grade 3, risk 3 (high)
B. Hypertension, stage I, Grade 2, risk 2 (moderate)
C. Hormonal symptomatic hypertension
D. Acute myocardial infarction
E. Chronic glomerulonephritis

7. Patient M., 49 years. Newly diagnosed hypertension. BP 160/105 mm Hg. What is the correct
initial treatment?
A. β-blockers
B. ACE inhibitors
C. Correction lifestyle
D. Diuretic drugs
E. Calcium channel blockers

8. The patient L., 48 years. For the first time diagnosed with hypertension, second degree. AT-
170/100 mm Hg. What is the most important in making the decision to start treatment?
A. The degree of overall cardiovascular risk
B. Job of the patient
C. The level of diastolic blood pressure
D. Males
E. The desire to be treated

9. Patient S., 60 years for the first time in his life diagnosed with hypertension, third degree. BP -
180/110 mm Hg. What is a manifestation of a high degree of risk of complications in a patient?
A. Prescription illness
B. Functional state of the liver
C. Total cholesterol 7.5 mmol / l
D. BMI - 20 kg/m2
E. The level of pressure

10. In hypertensive patients BMI 20 kg/m2. How does this affect the risk of complications of
hypertension?
A. positively
B. The risk is small, the patient's obesity grade 1
C. The risk is moderate, the patient's obesity grade 2
D. The risk is great, the patient's obesity grade 3
E. The risk is very high, the patient's degree of obesity 4
 Tests. The output level of knowledge.
Topic 1. Essential hypertension.
Option 4
1. Which drug should be used primarily for the treatment of hypertension in patients who have
coronary heart disease with postinfarction cardiosclerosis in disfunction of left ventricular systolic
function?
A. Ramipril
B. Hypothiazide
C.Verapamil
D. Propranolol
E. Clonidine

2. Patient, 57 years. For 14 years suffering from diabetes type II. He has swelling of the face and
legs, increased blood pressure to 180-200/110-120 mm Hg. Which antihypertensive drugs should be
used?
A. Enalapril hidrohlortyazyd.
B. Clonidine
C. Metoprolol
D. Verapamil
E. Nifedipine

3. Patient B., 45 years old. He has hypertension (BP 140/100 mmHg. Heart rate 60 b./min). He has
coronary heart disease, diffuse infarction, HF IIA, FC III, type II, diabetes, subcompensated. What
antihypertensive drugs should be used?
A. Verapamil
B. Enalapril
C. Metoprolol
D. Hipotiazid
E. Valsartan

4. Patient A., 50. He has hypertension (BP 160/105 mmHg, HR = 47/min.). He has coronary heart
disease, diffuse infarction, left bundle branch block, HF and FC II. What antihypertensive drug
should be used?
A. Verapamil
B. Propranolol
C. Reserpine
D. Amlodipine
E. Hypothiazide

5. Patient A., 45. He complains of intermittent headache, dizziness, numbness of the extremities.
OBJECTIVE: pulse 84 b./min, regular, blood pressure 170/95 mmHg. Percussion: left border of the
heart on the left middle clavicular line. Cardiac rhythmic accent II tone of the aorta. The liver was
not enlarged. No edema. The presumptive diagnosis: "hypertension". What laboratory studies
should be performed to clarify the stages of hypertension?
A. Urinalysis
B. Complete blood
C. Coagulogram
D. Proteyinohrama
E. Analysis of urine by Nechyporenko

6. Patient M., 48 years old. Has complaints of frequent headaches and dizziness. Menopause - 5
years. Accent II tone in the second intercostal space to the right of sternum. Blood pressure 165/98
mmHg. ECG - left ventricular hypertrophy. Urin alysis - without pathological changes. Plasma
creatinine 78 mmol / l. What is the diagnosis?
A. Hypertensive disease Stage II, Grade 3, risk 3 (high)
B. Hypertension, stage I, Grade 2, risk 2 (moderate)
C. Hormonal symptomatic hypertension
D. Acute myocardial infarction
E. Chronic glomerulonephritis

7. Patient M., 49 years. Newly diagnosed hypertension. BP 160/105 mm Hg. What is the correct
initial treatment?
A. β-blockers
B. ACE inhibitors
C. Correction lifestyle
D. Diuretic drugs
E. Calcium channel blockers

8. A 56 year old African American female with a history of asthma is diagnosed with hypertension.
Laboratory studies reveal a creatinine of 3.0 mg/dL and a potassium level of 5.6 mg/dL. Which of
the following medications is appropriate to treat her hypertension?
A) Amlodipine
B) Hydrochlorothiazide
C) Enalapril
D) Propranolol
E) Spironolactone

9. In patients with the profile of hypertension «non-dipper» lower blood pressure at night is:
A. More than 10% of the daily level
B. Less than 10% of the daily level
C. More than 20% of the daily level
D. Night blood pressure is not reduced
E. Increase blood pressure in the night

10. D. Male, 18, does not work, smokes 1 pack of cigarettes, per day. BP -160/97 mm Hg in the
morning, during the day - 155/95 mm Hg. The ECG: RV5> RV4. Total cholesterol - 5.9 mmol / l.
Blood sugar -7.1 mmol / l. Waist circumference 108 cm. What is the patient diagnosis?
A. NCD for hypertensive type
B. Hypertensive disease the second stage, the risk-1 (low)
C. Pheochromocytoma
D. Healthy person
E. Hypertensive disease the first degree of risk-3 (high)
 Tests. The output level of knowledge.
Topic 1. Essential hypertension.
Option 5
1. A 56 year old African American female with a history of asthma is diagnosed with hypertension.
Laboratory studies reveal a creatinine of 3.0 mg/dL and a potassium level of 5.6 mg/dL. Which of
the following medications is appropriate to treat her hypertension?
A) Amlodipine
B) Hydrochlorothiazide
C) Enalapril
D) Propranolol
E) Spironolactone

2. In patients with the profile of hypertension «non-dipper» lower blood pressure at night is:
A. More than 10% of the daily level
B. Less than 10% of the daily level
C. More than 20% of the daily level
D. Night blood pressure is not reduced
E. Increase blood pressure in the night

3. D. Male, 18, does not work, smokes 1 pack of cigarettes, per day. BP -160/97 mm Hg in the
morning, during the day - 155/95 mm Hg. The ECG: RV5> RV4. Total cholesterol - 5.9 mmol / l.
Blood sugar - 7.1 mmol / l. Waist circumference 108 cm. What is the patient diagnosis?
A. NCD for hypertensive type
B. Hypertensive disease the second stage, the risk-1 (low)
C. Pheochromocytoma
D. Healthy person
E. Hypertensive disease the first degree of risk-3 (high)

4. Patient S., 60 years. Over the last 7 years blood pressure has increased to 210/110 mmHg.
OBJECTIVE: apex beat displaced to the left of the midclavicular line 3 cm in V intercostal place,
diffuse, resistant, signs of left ventricular hypertrophy on the ECG, the fundus symptom Salus”s II.
For what disease are those signs?
A. Hypertension Stage II, grade 3, risk 3 (high)
B. Hypertension and stage 2 level, risk 2 (moderate)
C. Hypertension Stage III, grade 3, risk 4 (very high)
D. NCD
E. The syndrome of malignant hypertension

5. Patient L., 58 years. Suffering from hypertension for 19 years. Treated regularly. 5 years ago
suffered an ischemic stroke. Has complains of dizziness, tinnitus. Blood pressure 150/95 mmHg.
What is the diagnosis?
A. Hypertension, stage III, grade 3, Risk 4 (very high)
B. Hypertension, stage I, grade 2, risk 2 (moderate)
C. Hypertension, stage II, grade 3, risk 3 (high)
D. Mitral valve prolapse with symptomatic hypertension
E. Diencephalic syndrome

6. Patient M., 48 years old. Has complaints of frequent headaches and dizziness. Menopause - 5
years. Accent II tone in the second intercostal space to the right of sternum. Blood pressure 165/98
mmHg. ECG - left ventricular hypertrophy. Urin alysis - without pathological changes. Plasma
creatinine 78 mmol / l. What is the diagnosis?
A. Hypertensive disease Stage II, Grade 3, risk 3 (high)
B. Hypertension, stage I, Grade 2, risk 2 (moderate)
C. Hormonal symptomatic hypertension
D. Acute myocardial infarction
E. Chronic glomerulonephritis

7. Patient M., 49 years. Newly diagnosed hypertension. BP 160/105 mm Hg. What is the correct
initial treatment?
A. β-blockers
B. ACE inhibitors
C. Correction lifestyle
D. Diuretic drugs
E. Calcium channel blockers

8. The patient L., 48 years. For the first time diagnosed with hypertension, second degree. AT-
170/100 mm Hg. What is the most important in making the decision to start treatment?
A. The degree of overall cardiovascular risk
B. Job of the patient
C. The level of diastolic blood pressure
D. Males
E. The desire to be treated

9. Patient S., 60 years for the first time in his life diagnosed with hypertension, third degree. BP -
180/110 mm Hg. What is a manifestation of a high degree of risk of complications in a patient?
A. Prescription illness
B. Functional state of the liver
C. Total cholesterol 7.5 mmol / l
D. BMI - 20 kg/m2
E. The level of pressure

10. In hypertensive patients BMI 20 kg/m2. How does this affect the risk of complications of
hypertension?
A. positively
B. The risk is small, the patient's obesity grade 1
C. The risk is moderate, the patient's obesity grade 2
D. The risk is great, the patient's obesity grade 3
E. The risk is very high, the patient's degree of obesity 4
 Tests. The output level of knowledge.
Topic 1. Essential hypertension.
Option 6
1. A 56 year old female with a history of asthma is diagnosed with hypertension. Laboratory studies
reveal a creatinine of 3.0 mg/dL and a potassium level of 5.6 mg/dL. Which of the following
medications is appropriate to treat her hypertension?
A) Amlodipine
B) Hydrochlorothiazide
C) Enalapril
D) Propranolol
E) Spironolactone

2. In patients with the profile of hypertension «non-dipper» lower blood pressure at night is:
A. More than 10% of the daily level
B. Less than 10% of the daily level
C. More than 20% of the daily level
D. Night blood pressure is not reduced
E. Increase blood pressure in the night

3. D. Male, 18, does not work, smokes 1 pack of cigarettes, per day. BP -160/97 mm Hg in the
morning, during the day - 155/95 mm Hg. The ECG: RV5> RV4. Total cholesterol - 5.9 mmol / l.
Blood sugar - 7.1 mmol / l. Waist circumference 108 cm. What is the patient diagnosis?
A. NCD for hypertensive type
B. Hypertensive disease the second stage, the risk-1 (low)
C. Pheochromocytoma
D. Healthy person
E. Hypertensive disease the first degree of risk-3 (high)

4. Patient S., 60 years. Over the last 7 years blood pressure has increased to 210/110 mmHg.
OBJECTIVE: apex beat displaced to the left of the midclavicular line 3 cm in V intercostal place,
diffuse, resistant, signs of left ventricular hypertrophy on the ECG, the fundus symptom Salus”s II.
For what disease are those signs?
A. Hypertension Stage II, grade 3, risk 3 (high)
B. Hypertension and stage 2 level, risk 2 (moderate)
C. Hypertension Stage III, grade 3, risk 4 (very high)
D. NCD
E. The syndrome of malignant hypertension

5. Patient L., 58 years. Suffering from hypertension for 19 years. Treated regularly. 5 years ago
suffered an ischemic stroke. Has complains of dizziness, tinnitus. Blood pressure 150/95 mmHg.
What is the diagnosis?
A. Hypertension, stage III, grade 3, Risk 4 (very high)
B. Hypertension, stage I, grade 2, risk 2 (moderate)
C. Hypertension, stage II, grade 3, risk 3 (high)
D. Mitral valve prolapse with symptomatic hypertension
E. Diencephalic syndrome

6. Patient M., 48 years old. Has complaints of frequent headaches and dizziness. Menopause - 5
years. Accent II tone in the second intercostal space to the right of sternum. Blood pressure 165/98
mmHg. ECG - left ventricular hypertrophy. Urin alysis - without pathological changes. Plasma
creatinine 78 mmol / l. What is the diagnosis?
A. Hypertensive disease Stage II, Grade 3, risk 3 (high)
B. Hypertension, stage I, Grade 2, risk 2 (moderate)
C. Hormonal symptomatic hypertension
D. Acute myocardial infarction
E. Chronic glomerulonephritis

7. Patient M., 49 years. Newly diagnosed hypertension. BP 160/105 mm Hg. What is the correct
initial treatment?
A. β-blockers
B. ACE inhibitors
C. Correction lifestyle
D. Diuretic drugs
E. Calcium channel blockers

8. The patient L., 48 years. For the first time diagnosed with hypertension, second degree. AT-
170/100 mm Hg. What is the most important in making the decision to start treatment?
A. The degree of overall cardiovascular risk
B. Job of the patient
C. The level of diastolic blood pressure
D. Males
E. The desire to be treated

9. Patient S., 60 years for the first time in his life diagnosed with hypertension, third degree. BP -
180/110 mm Hg. What is a manifestation of a high degree of risk of complications in a patient?
A. Prescription illness
B. Functional state of the liver
C. Total cholesterol 7.5 mmol / l
D. BMI - 20 kg/m2
E. The level of pressure

10. In hypertensive patients BMI 20 kg/m2. How does this affect the risk of complications of
hypertension?
A. positively
B. The risk is small, the patient's obesity grade 1
C. The risk is moderate, the patient's obesity grade 2
D. The risk is great, the patient's obesity grade 3
E. The risk is very high, the patient's degree of obesity 4
 Tests. The output level of knowledge.
Topic 1. Essential hypertension.
Option 7
1. A 56 year old African American female with a history of asthma is diagnosed with hypertension.
Laboratory studies reveal a creatinine of 3.0 mg/dL and a potassium level of 5.6 mg/dL. Which of
the following medications is appropriate to treat her hypertension?
A) amlodipine
B) hydrochlorothiazide
C) enalapril
D) propranolol
E) spironolactone

2. In patients with the profile of hypertension «non-dipper» lower blood pressure at night is:
A. More than 10% of the daily level
B. Less than 10% of the daily level
C. More than 20% of the daily level
D. Night blood pressure is not reduced
E. Increase blood pressure in the night

3. D. Male, 18, does not work, smokes 1 pack of cigarettes, per day. BP -160/97 mm Hg in the
morning, during the day - 155/95 mm Hg. The ECG: RV5> RV4. Total cholesterol - 5.9 mmol / l.
Blood sugar -7.1 mmol / l. Waist circumference 108 cm. What is the patient diagnosis?
A. NCD for hypertensive type
B. Hypertensive disease the second stage, the risk-1 (low)
C. Pheochromocytoma
D. Healthy person
E. Hypertensive disease the first degree of risk-3 (high)

4. Patient S., 60 years. Over the last 7 years blood pressure has increased to 210/110 mmHg.
OBJECTIVE: apex beat displaced to the left of the midclavicular line 3 cm in V intercostal place,
diffuse, resistant, signs of left ventricular hypertrophy on the ECG, the fundus symptom Salus”s II.
For what disease are those signs?
A. Hypertension Stage II, grade 3, risk 3 (high)
B. Hypertension and stage 2 level, risk 2 (moderate)
C. Hypertension Stage III, grade 3, risk 4 (very high)
D. NCD
E. The syndrome of malignant hypertension

5. Patient L., 58 years. Suffering from hypertension for 19 years. Treated regularly. 5 years ago
suffered an ischemic stroke. Has complains of dizziness, tinnitus. Blood pressure 150/95 mmHg.
What is the diagnosis?
A. Hypertension, stage III, grade 3, Risk 4 (very high)
B. Hypertension, stage I, grade 2, risk 2 (moderate)
C. Hypertension, stage II, grade 3, risk 3 (high)
D. Mitral valve prolapse with symptomatic hypertension
E. Diencephalic syndrome

6. Patient M., 48 years old. Has complaints of frequent headaches and dizziness. Menopause - 5
years. Accent II tone in the second intercostal space to the right of sternum. Blood pressure 165/98
mmHg. ECG - left ventricular hypertrophy. Urin alysis - without pathological changes. Plasma
creatinine 78 mmol / l. What is the diagnosis?
A. Hypertensive disease Stage II, Grade 3, risk 3 (high)
B. Hypertension, stage I, Grade 2, risk 2 (moderate)
C. Hormonal symptomatic hypertension
D. Acute myocardial infarction
E. Chronic glomerulonephritis

7. Patient M., 49 years. Newly diagnosed hypertension. BP 160/105 mm Hg. What is the correct
initial treatment?
A. β-blockers
B. ACE inhibitors
C. Correction lifestyle
D. Diuretic drugs
E. Calcium channel blockers

8. The patient L., 48 years. For the first time diagnosed with hypertension, second degree. AT-
170/100 mm Hg. What is the most important in making the decision to start treatment?
A. The degree of overall cardiovascular risk
B. Job of the patient
C. The level of diastolic blood pressure
D. Males
E. The desire to be treated

9. Patient S., 60 years for the first time in his life diagnosed with hypertension, third degree. BP -
180/110 mm Hg. What is a manifestation of a high degree of risk of complications in a patient?
A. Prescription illness
B. Functional state of the liver
C. Total cholesterol 7.5 mmol / l
D. BMI - 20 kg/m2
E. The level of pressure

10. In hypertensive patients BMI 20 kg/m2. How does this affect the risk of complications of
hypertension?
A. Positively
B. The risk is small, the patient's obesity grade 1
C. The risk is moderate, the patient's obesity grade 2
D. The risk is great, the patient's obesity grade 3
E. The risk is very high, the patient's degree of obesity 4
 Tests. The output level of knowledge.
Topic 1. Essential hypertension.
Option 8
1. Which drug should be used primarily for the treatment of hypertension in patients who have
coronary heart disease with postinfarction cardiosclerosis in disfunction of left ventricular systolic
function?
A. Ramipril
B. Hypothiazide
C.Verapamil
D. Propranolol
E. Clonidine

2. Patient, 57 years. For 14 years suffering from diabetes type II. He has swelling of the face and
legs, increased blood pressure to 180-200/110-120 mm Hg. Which antihypertensive drugs should be
used?
A. Enalapril hidrohlortiazid
B. Clonidine
C. Metoprolol
D. Verapamil
E. Nifedipine

3. Patient B., 45 years old. He has hypertension (BP 140/100 mmHg. Heart rate 60 b./min). He has
coronary heart disease, diffuse infarction, HF IIA, FC III, type II, diabetes, subcompensated. What
antihypertensive drugs should be used?
A. Verapamil
B. Enalapril
C. Metoprolol
D. Hipotiazid
E. Valsartan

4. Patient A., 50. He has hypertension (BP 160/105 mmHg, HR = 47/min.). He has coronary heart
disease, diffuse infarction, left bundle branch block, HF and FC II. What antihypertensive drug
should be used?
A. Verapamil
B. Propranolol
C. Reserpine
D. Amlodipine
E. Hypothiazide

5. Patient A., 45. He complains of intermittent headache, dizziness, numbness of the extremities.
OBJECTIVE: pulse 84 b./min, regular, blood pressure 170/95 mmHg. Percussion: left border of the
heart on the left middle clavicular line. Cardiac rhythmic accent II tone of the aorta. The liver was
not enlarged. No edema. The presumptive diagnosis: "hypertension". What laboratory studies
should be performed to clarify the stages of hypertension?
A. Urinalysis
B. Complete blood
C. Coagulogram
D. Proteyinohrama
E. Analysis of urine by Nechyporenko

6. Patient M., 48 years old. Has complaints of frequent headaches and dizziness. Menopause - 5
years. Accent II tone in the second intercostal space to the right of sternum. Blood pressure 165/98
mmHg. ECG - left ventricular hypertrophy. Urin alysis - without pathological changes. Plasma
creatinine 78 mmol / l. What is the diagnosis?
A. Hypertensive disease Stage II, Grade 3, risk 3 (high)
B. Hypertension, stage I, Grade 2, risk 2 (moderate)
C. Hormonal symptomatic hypertension
D. Acute myocardial infarction
E. Chronic glomerulonephritis

7. Patient M., 49 years. Newly diagnosed hypertension. BP 160/105 mm Hg. What is the correct
initial treatment?
A. β-blockers
B. ACE inhibitors
C. Correction lifestyle
D. Diuretic drugs
E. Calcium channel blockers

8. A 56 year old African American female with a history of asthma is diagnosed with hypertension.
Laboratory studies reveal a creatinine of 3.0 mg/dL and a potassium level of 5.6 mg/dL. Which of
the following medications is appropriate to treat her hypertension?
A) Amlodipine
B) Hydrochlorothiazide
C) Enalapril
D) Propranolol
E) Spironolactone

9. In patients with the profile of hypertension «non-dipper» lower blood pressure at night is:
A. More than 10% of the daily level
B. Less than 10% of the daily level
C. More than 20% of the daily level
D. Night blood pressure is not reduced
E. Increase blood pressure in the night

10. D. Male, 18, does not work, smokes 1 pack of cigarettes, per day. BP -160/97 mm Hg in the
morning, during the day - 155/95 mm Hg. The ECG: RV5> RV4. Total cholesterol - 5.9 mmol / l.
Blood sugar -7.1 mmol / l. Waist circumference 108 cm. What is the patient diagnosis?
A. NCD for hypertensive type
B. Hypertensive disease the second stage, the risk-1 (low)
C. Pheochromocytoma
D. Healthy person
E. Hypertensive disease the first degree of risk-3 (high)
 Tests. The output level of knowledge.
Topic 1. Essential hypertension.
Option 9
1. Which drug should be used primarily for the treatment of hypertension in patients who have
coronary heart disease with postinfarction cardiosclerosis in disfunction of left ventricular systolic
function?
A. Ramipril
B. Hypothiazide
C.Verapamil
D. Propranolol
E. Clonidine

2. Patient, 57 years. For 14 years suffering from diabetes type II. He has swelling of the face and
legs, increased blood pressure to 180-200/110-120 mm Hg. Which antihypertensive drugs should be
used?
A. Enalapril hidrohlortiazid
B. Clonidine
C. Metoprolol
D. Verapamil
E. Nifedipine

3. Patient B., 45 years old. He has hypertension (BP 140/100 mmHg. Heart rate 60 b./min). He has
coronary heart disease, diffuse infarction, HF IIA, FC III, type II, diabetes, subcompensated. What
antihypertensive drugs should be used?
A. Verapamil
B. Enalapril
C. Metoprolol
D. Hipotiazid
E. Valsartan

4. Patient A., 50. He has hypertension (BP 160/105 mmHg, HR = 47/min.). He has coronary heart
disease, diffuse infarction, left bundle branch block, HF and FC II. What antihypertensive drug
should be used?
A. Verapamil
B. Propranolol
C. Reserpine
D. Amlodipine
E. Hypothiazide

5. Patient A., 45. He complains of intermittent headache, dizziness, numbness of the extremities.
OBJECTIVE: pulse 84 b./min, regular, blood pressure 170/95 mmHg. Percussion: left border of the
heart on the left middle clavicular line. Cardiac rhythmic accent II tone of the aorta. The liver was
not enlarged. No edema. The presumptive diagnosis: "hypertension". What laboratory studies
should be performed to clarify the stages of hypertension?
A. Urinalysis
B. Complete blood
C. Coagulogram
D. Proteyinohrama
E. Analysis of urine by Nechyporenko

6. Patient M., 48 years old. Has complaints of frequent headaches and dizziness. Menopause - 5
years. Accent II tone in the second intercostal space to the right of sternum. Blood pressure 165/98
mmHg. ECG - left ventricular hypertrophy. Urin alysis - without pathological changes. Plasma
creatinine 78 mmol / l. What is the diagnosis?
A. Hypertensive disease Stage II, Grade 3, risk 3 (high)
B. Hypertension, stage I, Grade 2, risk 2 (moderate)
C. Hormonal symptomatic hypertension
D. Acute myocardial infarction
E. Chronic glomerulonephritis

7. Patient M., 49 years. Newly diagnosed hypertension. BP 160/105 mm Hg. What is the correct
initial treatment?
A. β-blockers
B. ACE inhibitors
C. Correction lifestyle
D. Diuretic drugs
E. Calcium channel blockers

8. A 56 year old African American female with a history of asthma is diagnosed with hypertension.
Laboratory studies reveal a creatinine of 3.0 mg/dL and a potassium level of 5.6 mg/dL. Which of
the following medications is appropriate to treat her hypertension?
A) Amlodipine
B) Hydrochlorothiazide
C) Enalapril
D) Propranolol
E) Spironolactone

9. In patients with the profile of hypertension «non-dipper» lower blood pressure at night is:
A. More than 10% of the daily level
B. Less than 10% of the daily level
C. More than 20% of the daily level
D. Night blood pressure is not reduced
E. Increase blood pressure in the night

10. D. Male, 18, does not work, smokes 1 pack of cigarettes, per day. BP -160/97 mm Hg in the
morning, during the day - 155/95 mm Hg. The ECG: RV5> RV4. Total cholesterol - 5.9 mmol / l.
Blood sugar -7.1 mmol / l. Waist circumference 108 cm. What is the patient diagnosis?
A. NCD for hypertensive type
B. Hypertensive disease the second stage, the risk-1 (low)
C. Pheochromocytoma
D. Healthy person
E. Hypertensive disease the first degree of risk-3 (high)
 Tests. The output level of knowledge.
Topic 1. Essential hypertension.
Option 10
1. Which drug should be used primarily for the treatment of hypertension in patients who have
coronary heart disease with postinfarction cardiosclerosis in disfunction of left ventricular systolic
function?
A. Ramipril
B. Hypothiazide
C.Verapamil
D. Propranolol
E. Clonidine

2. Patient, 57 years. For 14 years suffering from diabetes type II. He has swelling of the face and
legs, increased blood pressure to 180-200/110-120 mm Hg. Which antihypertensive drugs should be
used?
A. Enalapril hidrohlortiazid
B. Clonidine
C. Metoprolol
D. Verapamil
E. Nifedipine

3. Patient B., 45 years old. He has hypertension (BP 140/100 mmHg. Heart rate 60 b./min). He has
coronary heart disease, diffuse infarction, HF IIA, FC III, type II, diabetes, subcompensated. What
antihypertensive drugs should be used?
A. Verapamil
B. Enalapril
C. Metoprolol
D. Hipotiazid
E. Valsartan

4. Patient A., 50. He has hypertension (BP 160/105 mmHg, HR = 47/min.). He has coronary heart
disease, diffuse infarction, left bundle branch block, HF and FC II. What antihypertensive drug
should be used?
A. Verapamil
B. Propranolol
C. Reserpine
D. Amlodipine
E. Hypothiazide

5. Patient A., 45. He complains of intermittent headache, dizziness, numbness of the extremities.
OBJECTIVE: pulse 84 b./min, regular, blood pressure 170/95 mmHg. Percussion: left border of the
heart on the left middle clavicular line. Cardiac rhythmic accent II tone of the aorta. The liver was
not enlarged. No edema. The presumptive diagnosis: "hypertension". What laboratory studies
should be performed to clarify the stages of hypertension?
A. Urinalysis
B. Complete blood
C. Coagulogram
D. Proteyinohrama
E. Analysis of urine by Nechyporenko

6. Patient M., 48 years old. Has complaints of frequent headaches and dizziness. Menopause - 5
years. Accent II tone in the second intercostal space to the right of sternum. Blood pressure 165/98
mmHg. ECG - left ventricular hypertrophy. Urin alysis - without pathological changes. Plasma
creatinine 78 mmol / l. What is the diagnosis?
A. Hypertensive disease Stage II, Grade 3, risk 3 (high)
B. Hypertension, stage I, Grade 2, risk 2 (moderate)
C. Hormonal symptomatic hypertension
D. Acute myocardial infarction
E. Chronic glomerulonephritis

7. Patient M., 49 years. Newly diagnosed hypertension. BP 160/105 mm Hg. What is the correct
initial treatment?
A. β-blockers
B. ACE inhibitors
C. Correction lifestyle
D. Diuretic drugs
E. Calcium channel blockers

8. A 56 year old African American female with a history of asthma is diagnosed with hypertension.
Laboratory studies reveal a creatinine of 3.0 mg/dL and a potassium level of 5.6 mg/dL. Which of
the following medications is appropriate to treat her hypertension?
A) Amlodipine
B) Hydrochlorothiazide
C) Enalapril
D) Propranolol
E) Spironolactone

9. In patients with the profile of hypertension «non-dipper» lower blood pressure at night is:
A. More than 10% of the daily level
B. Less than 10% of the daily level
C. More than 20% of the daily level
D. Night blood pressure is not reduced
E. Increase blood pressure in the night

10. D. Male, 18, does not work, smokes 1 pack of cigarettes, per day. BP -160/97 mm Hg in the
morning, during the day - 155/95 mm Hg. The ECG: RV5> RV4. Total cholesterol - 5.9 mmol / l.
Blood sugar -7.1 mmol / l. Waist circumference 108 cm. What is the patient diagnosis?
A. NCD for hypertensive type
B. Hypertensive disease the second stage, the risk-1 (low)
C. Pheochromocytoma
D. Healthy person
E. Hypertensive disease the first degree of risk-3 (high)