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1. JF arrives at the emergency department with stabbing, sharp chest pain which is determined to be a type A aortic dissection on CT. JF has a serum creatinine of 1.0, a heart rate of 120 beats/minute, and a blood pressure of 180/110mmHg. Which of the following is the best recommended blood pressure/heart rate target for JF within 20 minutes?

A. Heart rate <100 beats/minute, systolic blood pressure <180mmHg B. Heart rate <100 beats/minute, systolic blood pressure <120mmHg C. Heart rate <60 beats/minute, systolic blood pressure <180mmHg D. Heart rate <60 beats/minute, systolic blood pressure <120mmHg

2. Which of the following agents would be the most appropriate first line therapy for aortic dissection, assuming no contraindications?

A. Intravenous nitroprusside drip 0.5mcg/kg/minute, titrate to goal B. Intravenous diltiazem drip 5mg/hour, titrate to goal C. Intravenous esmolol drip 150mcg/kg/minute, titrate to goal D. Intravenous labetalol drip 1mg/minute, titrate to goal

3. Which of the following statements surrounding hypertensive emergencies is incorrect?

A. The number of patients presenting to US Emergency Departments with hypertensive emergencies have continued to increase over the past 10 years B. Blood pressure lowering with medication is typically targeted over 6-8 hours C. Medication treatment is based on avoiding end organ (heart, retina, brain, kidneys, and large arteries) damage D. All of the above are correct

4. Which of the following statements surrounding medication management in hypertensive emergencies is correct?

A. Nitroglycerin is often avoided because of cyanide accumulation associated with prolonged infusions B. Labetalol infusion, because of its mechanism and duration of action, may be problematic in patients with acute decompensated heart failure C. Clevidipine has been associated with greater dose titration steps to gain blood pressure control in post-operative patients D. All of the above are correct

5. TJ is a 46-year-old male presenting with an acute intracranial hemorrhage. On admission, his vital signs are as follows: heart rate 80 beats per minute, blood pressure 174/94 mmHg, respiratory rate 12 breaths per minute. Which of the following blood pressure targets are recommended by the 2015 AHA/ASA Guidelines on the management of spontaneous intracranial hemorrhage?

A. SBP < 120 mmHg B. SBP < 140 mmHg C. SBP < 160 mmHg D. SBP < 180 mmHg

6. Which of the following agents would be the most appropriate first line therapy for sustained blood pressure control in the first 24-hours after acute ischemic stroke in a patient with a presenting blood pressure of 196/90 mmHg and heart rate 72 beats per minute?

A. Nitroprusside continuous IV Infusion B. Nitroglycerin continuous IV infusion C. Clevidipine continuous IV infusion D. Labetalol continuous IV infusion

Maintenance is scheduled for 8/7/2023 7:00 AM EST - 8:00 AM EST.

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2. Which of the following agents would be the most appropriate first line therapy for aortic dissection, assuming no contraindications?

3. Which of the following statements surrounding hypertensive emergencies is incorrect?

4. Which of the following statements surrounding medication management in hypertensive emergencies is correct?

6. Which of the following agents would be the most appropriate first line therapy for sustained blood pressure control in the first 24-hours after acute ischemic stroke in a patient with a presenting blood pressure of 196/90 mmHg and heart rate 72 beats per minute?

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Maintenance is scheduled for 8/7/2023 7:00 AM EST - 8:00 AM EST.

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2. Which of the following agents would be the most appropriate first line therapy for aortic dissection, assuming no contraindications?

3. Which of the following statements surrounding hypertensive emergencies is incorrect?

4. Which of the following statements surrounding medication management in hypertensive emergencies is correct?

6. Which of the following agents would be the most appropriate first line therapy for sustained blood pressure control in the first 24-hours after acute ischemic stroke in a patient with a presenting blood pressure of 196/90 mmHg and heart rate 72 beats per minute?

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