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Viva Question and Answers related to Blood pressure

Here are some possible viva questions and answers related to blood pressure:

  1. Question: What is blood pressure?
    • Answer: Blood pressure is the force exerted by the blood against the walls of the arteries as the heart pumps it around the body. It is typically measured in millimeters of mercury (mmHg) and expressed as two values – systolic pressure over diastolic pressure.
  2. Question: What is the normal range for blood pressure?
    • Answer: The normal range for blood pressure is generally considered to be around 120/80 mmHg. However, individual variations can exist, and healthcare professionals may consider other factors when evaluating blood pressure.
  3. Question: Define systolic and diastolic pressure.
    • Answer: Systolic pressure is the higher of the two blood pressure values and represents the force exerted by the blood against artery walls when the heart contracts. Diastolic pressure is the lower value and signifies the pressure in the arteries when the heart is at rest between beats.
  4. Question: What factors can influence blood pressure?
    • Answer: Several factors can affect blood pressure, including age, gender, genetics, lifestyle choices (such as diet and physical activity), stress, and certain medical conditions.
  5. Question: How is blood pressure measured?
    • Answer: Blood pressure is commonly measured using a sphygmomanometer. The cuff is wrapped around the upper arm, and air is pumped into the cuff to temporarily cut off blood flow. The pressure is then slowly released, and the point at which blood begins to flow again is recorded as systolic pressure. The point at which blood flow becomes constant is recorded as diastolic pressure.
  6. Question: What is the significance of high blood pressure (hypertension)?
    • Answer: High blood pressure can strain the heart, arteries, and other organs, potentially leading to serious health problems such as heart disease, stroke, and kidney damage. It is often referred to as the “silent killer” because it may not cause noticeable symptoms until it has reached advanced stages.
  7. Question: How can one manage or control blood pressure?
    • Answer: Lifestyle modifications are crucial for managing blood pressure. These include maintaining a healthy diet low in sodium, engaging in regular physical activity, maintaining a healthy weight, limiting alcohol intake, and managing stress. In some cases, medication may be prescribed by a healthcare professional.
  8. Question: What is the white coat syndrome?
    • Answer: White coat syndrome refers to a phenomenon where a person’s blood pressure is higher when measured in a medical setting (such as a doctor’s office) than in other environments. This can be due to anxiety or stress associated with the medical environment.
  9. Question: Can blood pressure be too low?
    • Answer: Yes, excessively low blood pressure (hypotension) can also be a concern, leading to symptoms like dizziness, fainting, and fatigue. Chronic low blood pressure may be indicative of an underlying health issue and should be evaluated by a healthcare professional.

Remember, these answers are meant to provide general information, and specific details may vary based on individual cases and the context of the discussion.

Here are some viva questions and answers related to the medication of blood pressure:

  1. Question: What are the main classes of medications used to treat high blood pressure?
    • Answer: The main classes of medications for treating high blood pressure include diuretics, beta-blockers, ACE inhibitors, angiotensin II receptor blockers (ARBs), calcium channel blockers, and direct renin inhibitors.
  2. Question: How do diuretics work in managing blood pressure?
    • Answer: Diuretics, also known as water pills, increase urine production, reducing the volume of fluid in the blood vessels. This decreases blood volume and subsequently lowers blood pressure.
  3. Question: What is the role of beta-blockers in blood pressure management?
    • Answer: Beta-blockers reduce heart rate and the force of contraction, leading to decreased cardiac output. This results in lowered blood pressure.
  4. Question: Explain the mechanism of action of ACE inhibitors.
    • Answer: ACE inhibitors block the angiotensin-converting enzyme (ACE), which plays a role in the production of angiotensin II—a substance that narrows blood vessels. By inhibiting ACE, these medications relax blood vessels and decrease blood pressure.
  5. Question: When are angiotensin II receptor blockers (ARBs) prescribed?
    • Answer: ARBs are prescribed when ACE inhibitors are not well-tolerated or as an alternative. They block the effects of angiotensin II directly, leading to vasodilation and lowered blood pressure.
  6. Question: What is the function of calcium channel blockers in blood pressure control?
    • Answer: Calcium channel blockers inhibit the entry of calcium into muscle cells of the heart and blood vessels, causing relaxation of the arterial walls and reducing the heart’s workload, ultimately lowering blood pressure.
  7. Question: How do direct renin inhibitors work?
    • Answer: Direct renin inhibitors interfere with the renin-angiotensin-aldosterone system, specifically by inhibiting the action of renin. This reduces the production of angiotensin II, leading to vasodilation and decreased blood pressure.
  8. Question: Can lifestyle changes reduce the need for blood pressure medications?
    • Answer: Yes, lifestyle changes such as maintaining a healthy diet, engaging in regular exercise, limiting sodium intake, moderating alcohol consumption, and managing stress can contribute to better blood pressure control. In some cases, these changes may allow for a reduction in medication dosage.
  9. Question: What are the potential side effects of blood pressure medications?
    • Answer: Side effects can vary depending on the class of medication but may include dizziness, fatigue, increased potassium levels, dry cough (common with ACE inhibitors), and ankle swelling. It’s essential to discuss any concerns or side effects with a healthcare provider.
  10. Question: Is it common to use a combination of blood pressure medications?
    • Answer: Yes, it is common for healthcare providers to prescribe a combination of medications from different classes to achieve better blood pressure control. Combining medications with different mechanisms of action can be more effective and may reduce side effects associated with higher doses of a single medication.

Always note that these answers are general and may not cover all specific aspects of individual cases. It’s crucial to consult with a healthcare professional for personalized advice and information.

Viva Questions and Answers Related to the Maxilla and Mandible:

Here are some viva questions and answers related to checking blood pressure before surgery:

  1. Question: Why is it important to check a patient’s blood pressure before surgery?
    • Answer: Checking blood pressure before surgery is crucial to assess the patient’s cardiovascular health and to ensure they are in a stable condition. Abnormal blood pressure levels may impact the decision to proceed with surgery and can guide anesthesiologists in managing the patient’s anesthesia and overall well-being during the procedure.
  2. Question: When is the ideal time to measure blood pressure before surgery?
    • Answer: Blood pressure should ideally be measured during the pre-operative assessment, which occurs before the surgery. This allows healthcare providers to identify any hypertension or hypotension that might require further evaluation or intervention.
  3. Question: What blood pressure values are considered acceptable for surgery?
    • Answer: The acceptable blood pressure range for surgery can vary depending on the patient’s medical history and the type of surgery. In general, blood pressure levels around 120/80 mmHg are considered normal. However, healthcare providers may evaluate the overall clinical picture and the specific needs of the patient.
  4. Question: How does high blood pressure impact the decision to proceed with surgery?
    • Answer: High blood pressure may increase the risk of complications during surgery, such as bleeding and cardiovascular events. In some cases, healthcare providers may need to optimize blood pressure control before proceeding with elective surgery or may choose to postpone surgery in the presence of uncontrolled hypertension.
  5. Question: Can low blood pressure be a concern before surgery?
    • Answer: Yes, low blood pressure (hypotension) can be a concern before surgery as it may indicate poor perfusion to vital organs. In such cases, healthcare providers may need to assess the underlying cause and take measures to stabilize the patient before proceeding with surgery.
  6. Question: How does anesthesia affect blood pressure during surgery?
    • Answer: Anesthesia can impact blood pressure by causing vasodilation and reducing cardiac output. Anesthesiologists closely monitor blood pressure during surgery to ensure it remains within a safe range. Medications may be administered to maintain stable blood pressure levels.
  7. Question: What actions can be taken if blood pressure is elevated before surgery?
    • Answer: If blood pressure is elevated before surgery, healthcare providers may consider delaying the procedure and optimizing blood pressure control. In some cases, antihypertensive medications may be administered to bring blood pressure within an acceptable range.
  8. Question: How does a patient’s medical history influence the assessment of blood pressure before surgery?
    • Answer: A patient’s medical history, including conditions such as cardiovascular disease, diabetes, and kidney disease, can significantly influence the assessment of blood pressure before surgery. Individuals with pre-existing conditions may require more stringent blood pressure control to minimize the risk of complications.
  9. Question: Are there specific guidelines for blood pressure management before surgery?
    • Answer: Yes, there are guidelines and protocols established by medical societies and anesthesia organizations that provide recommendations for blood pressure management before surgery. These guidelines consider the patient’s overall health, the type of surgery, and potential risks associated with different blood pressure levels.

Always remember that these answers provide general information, and specific protocols may vary based on the patient’s unique circumstances and the surgical procedure planned. It’s important for healthcare professionals to assess each case individually and make informed decisions based on the patient’s overall health and specific needs.



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