Examen Único De Residencias Córdoba (Medicina) Practice Questions - Córdoba Health Residencies Single Examination (Examen Único De Residencias En Salud - Córdoba Medicina) Exam

Access More Questions

A 52-year-old man presents to the emergency room with severe headache, blurred vision, and confusion. His blood pressure is 220/130 mmHg. Fundoscopic examination reveals bilateral flame-shaped retinal hemorrhages, soft exudates, and papilledema. Urinalysis reveals proteinuria and microscopic hematuria. What is the diagnosis and the target blood pressure reduction in the first hour?

White-coat hypertension; prescribe oral enalapril and discharge with outpatient follow-up in 24 hours Hypertensive urgency; administer sublingual nifedipine immediately to normalize blood pressure to < 120/80 mmHg within 30 minutes Hypertensive emergency; reduce systolic blood pressure to < 100 mmHg within the first 15 minutes using high-dose intravenous hydralazine Hypertensive emergency (malignant hypertension); reduce mean arterial pressure (MAP) by no more than 20% to 25% within the first hour using intravenous antihypertensive therapy

Correct Answer:

Hypertensive emergency (malignant hypertension); reduce mean arterial pressure (MAP) by no more than 20% to 25% within the first hour using intravenous antihypertensive therapy

Access more questions from this quiz

Continue to Examen Único de Residencias Córdoba (Medicina) Practice Questions - Córdoba Health Residencies Single Examination (Examen Único de Residencias en Salud - Córdoba Medicina) Exam for more practice questions and the full quiz experience.

Access More Questions