Brazil Healthcare Practice Test & Exam Prep

Access More Questions

A 48-year-old male with untreated hypertension presents to the emergency department with severe throbbing headache, blurred vision, and dyspnea. Vital signs show BP 224/132 mmHg, HR 96 bpm, RR 26 bpm, and SpO2 90% on room air. Fundoscopy reveals bilateral flame-shaped hemorrhages, cotton-wool spots, and bilateral optic disc swelling (papilledema). Chest radiograph demonstrates diffuse pulmonary edema. What is the diagnosis and the most appropriate immediate pharmacological management?

Hypertensive emergency with acute pulmonary edema and malignant nephrosclerosis/retinopathy; initiate continuous intravenous sodium nitroprusside or nitroglycerin with intravenous furosemide, targeting a 20% to 25% reduction in mean arterial pressure within the first hour. Hypertensive urgency; administer oral clonidine 0.2 mg or sublingual captopril 25 mg and discharge with outpatient follow-up in 48 hours. Pseudohypertension; administer oral lorazepam and repeat blood pressure measurement in 3 hours. Hypertensive emergency; rapidly decrease systolic blood pressure to below 100 mmHg within 15 minutes using boluses of hydralazine.

Correct Answer:

Access more questions from this quiz

Continue to Brazil Healthcare Practice Test & Exam Prep for more practice questions and the full quiz experience.

Access More Questions