Journal of the American Society of Hypertension 8(12) (2014) 942
American Society of Hypertension Self-Assessment Guide
Diagnostic evaluation
Ambulatory blood pressure monitoring in clinical hypertension
management
self-assessment questions
This self-assessment component refers to Diagnostic evaluation ambulatory blood pressure
monitoring in clinical hypertension management in page 939.
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1. The circadian blood pressure rhythm is most often character- 6. Which of the following best describes patients with masked
ized by a hypertension?
a. loss of decline in blood pressure during sleep. a. Less likely to smoke cigarettes
b. 20%-30% reduction in blood pressure during sleep. b. Increased rates of carotid artery disease
c. lower sleep blood pressure in African American patients. c. Favorable cardiovascular outcome profile
d. lower sleep blood pressure in patients with chronic kidney d. No signs of increased target organ disease
disease.
7. White coat effect is most common in
2. Blunted declines in nocturnal blood pressure have been asso- a. patients who smoke cigarettes.
ciated with b. patients on beta-blocker therapy.
a. reductions in stroke rates. c. hypertensive patients with type 2 diabetes.
b. lower pulse wave velocity. d. older patients with isolated systolic hypertension.
c. improved cardiovascular outcomes.
d. increased left ventricular hypertrophy. 8. In studies of untreated patients who have self-monitored
blood pressure (BP) that is substantially lower than the doc-
tor’s office measurements, ambulatory blood pressure (ABP)
3. A consensus panel of the American Society of Hyperten- shows that the
sion determined that nocturnal hypertension is greater a. home BP is representative of the ABP in more than 90% of
than patients.
a. 110/75 mm Hg. b. home BP is representative of the ABP in less than 20% of
b. 120/80 mm Hg. patients.
c. 125/80 mm Hg. c. doctor’s office measurements are representative of the
d. 130/90 mm Hg. ABP in more than 80% of patients.
d. doctor’s office measurements are representative of the
4. Ambulatory blood pressure monitoring is most effectively ABP in less than 35% of patients.
used when office blood pressure is
a. elevated and home blood pressure is not elevated. 9. For predicting cardiovascular outcomes in cohort studies, the
b. elevated and the home blood pressure is elevated. most useful measurement of blood pressure is
c. not elevated and the home blood pressure is elevated. a. doctor’s office systolic.
d. not elevated and the home blood pressure is not elevated. b. self measured diastolic.
c. early morning surge systolic.
5. U.S. validation of ambulatory blood pressure devices requires d. ambulatory systolic recorded during sleep.
which of the following?
a. Minimum of 100 patients with hypertension are assessed 10. Which of the following is LEAST characteristic of a surge in
b. Minimum of 30% of patients in the study sample are early morning blood pressure of greater than 20 mm Hg:
women a. Is associated with increases in stroke
c. Monitor shows an agreement of 5 8 mm Hg with a b. Is associated with increases in cardiovascular mortality
standard c. Is an independent risk factor for ischemic disease of the
d. Maximum of 15% of the readings are 20 mm Hg brain
different from the standard d. Is a predictor of lower hemorrhagic stroke rates.
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