temp_prompt.txt

Question: Le risque relatif d'insuffisance cardiaque liée à l'HTA est de {{c1::4}}.
Answer: 
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Seuil d'HTA en auto-mesure
Answer: <ul><li>PAS ≥ 135 mmHg</li><li>| PAD ≥ 85 mmHg</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Seuil d'HTA en MAPA sur 24 h
Answer: <ul><li>PAS ≥ 130 mmHg</li><li>| PAD ≥ 80 mmHg</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Seuil d'HTA en MAPA de jour
Answer: <ul><li>PAS ≥ 135 mmHg</li><li>| PAD ≥ 85 mmHg</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Seuil d'HTA en MAPA de nuit
Answer: <ul><li>PAS ≥ 120 mmHg</li><li>| PAD ≥ 70 mmHg</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Méthodes de mesures de la pression artérielle en cabinet
Answer: <ul><li>3 mesures à 1-2 mn d'intervalle</li><li>Aux 2 bras</li><li>Mesure hypotension orthostatique à 1 mn et 3 mn</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Methode de mesure de la pression artérielle en MAPA
Answer: <ul><li>Mesure de la pression sur 24 h</li><ul><li>~ 4 mesures par heure le jour</li><li>~ 2 mesures par heure la nuit</li></ul><li>Tenir un journal des activités</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Methode de mesure de la pression artérielle en automesure à domicile
Answer: <ul><li>Règle des 3</li><ul><li>Pendant 3 jours</li><li>3 fois au lever, à 2 min d'intervalle</li><li>3 fois au coucher, à 2 min d'intervalle</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: L'HTA est&nbsp;{{c1::essentielle}} dans&nbsp;{{c2::90}}% des cas.
Answer: Elle est donc secondaire dans 10% des cas.
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: {{c1::20}}% des patients hypertendus {{c2::ne sont pas traités}}.<br>
Answer: 
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: {{c1::50}}% des patients hypertendus traités {{c2::ne sont pas à leur objectif tensionnel}}.<br>
Answer: 
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Prévalence de l'HTA en France
Answer: <ul><li>30%</li><li>↗ avec l'âge<br></li><ul><li>1% des 20-29 ans</li><li>20% des 60-69 ans</li><li>&gt; 50% des &gt; 80 ans</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Physiopathologie de l'HTA essentielle
Answer: <ul><li>Retention sodée</li><ul><li>Insuffisance rénale</li><li>SRAA</li><li>Hypercorticisme</li></ul><li>Vasoconstriction</li><ul><li>SRAA</li><li>Cathécolamines</li><li>Système nerveux sympathique</li></ul><li>Rigidité artérielle</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: L'HTA {{c1::masquée}} est {{c2::une PA normale au cabinet et élevée à la maison}}.
Answer: 
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: L'HTA {{c1::blouse blanche}} est {{c2::une PA élevée au cabinet et normale à la maison}}.
Answer: 
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Objectifs de l'évaluation initiale d'un patient hypertendu
Answer: <ul><li>À propos de l'HTA</li><ul><li>Rechercher une cause secondaire</li><li>Évaluer les complications</li></ul><li>Évaluer le risque cardio-vasculaire global</li><li>Rechercher une hypotension orthostatique</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Examens complémentaires de 1ere intention devant une HTA
Answer: <ul><li>Risque cardio-vasculaire</li><ul><li>Glycémie à jeun</li><li>Bilan lipidique</li></ul><li>Retentissement</li><ul><li>Créatininémie</li><li>Protéinurie</li><li>ECG</li><li>Fond d'œil</li><ul><li>Grade 2 ou 3 ou diabète</li></ul></ul><li>Cause</li><ul><li>Natrémie, kaliémie</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Ce qui oriente vers une HTA secondaire
Answer: <ul><li>HTA &lt; 40 ans</li><li>HTA d'emblée</li><ul><li>Grade 3</li><li>Grade 2 ou 3 &lt; 40 ans</li></ul><li>HTA résistante</li><li>Hypokaliémie</li><li>Atteintes d'organes disproportionnées</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Principales causes d'HTA secondaire
Answer: <ul><li>Toxique | Médicament</li><li>Néphropathie</li><li>Sténoses des artères rénales</li><ul><li>Athéromateuses</li><li>Fibrodysplasie</li></ul><li>Surrénales</li><ul><li>Phéochromocytome</li><li>Syndrome de Cushing</li><li>Hyperaldostéronisme primaire</li></ul><li>SAHOS</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Crise hypertensive
Answer: <ul><li>HTA grade 3</li><li>&amp; ¬ signes de souffrance viscérale</li><ul><li>± Céphalées légères à modérées</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Urgence hypertensive
Answer: <ul><li>HTA grade 3</li><li>&amp; Signes de souffrance viscérale</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: {{c1::Une HTA résistante}} est&nbsp;{{c2::une HTA non-contrôlée malgré (i) hygiène de vie adaptée et (ii) tri-thérapie à doses optimales}}.<br>
Answer: 
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Facteurs favorisants les HTA résistantes
Answer: <ul><li>Mauvaise observance</li><li>Toxique</li><li>Consommation excessive d'alcool</li><li>Apports sodés excessifs</li><li>SAHOS</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Seuil de traitement de l'HTA
Answer: <ul><li>PAs&nbsp;</li><ul><li>≥ 140 mmHg</li><li>≥ 160 mmHg chez les ≥ 80 ans</li></ul><li>| PAd ≥ 90 mmHg</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Stratégie d'inititation de traitement médicamenteux de l'HTA
Answer: <ul><li>Grade 1 &amp; faible risque CV</li><ul><li>3-6 mois de règles hygiéno-diététiques</li><li>› traitement médicamenteux</li></ul><li>Grade 2 | 3 | 1&amp;risque CV</li><ul><li>Règles hygiéno-diététiques</li><li>&amp; traitement médicamenteux</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Objectifs tensionnels chez les patients hypertendus traités
Answer: <ul><li>1er objectif</li><ul><li>&lt; 140/90 mmHg</li></ul><li>2e objectif</li><ul><li>&lt; 65 ans</li><ul><li>PAs 120-129 mmHg</li><li>PAd &lt; 80 mmHg</li></ul><li>≥ 65 ans</li><ul><li>PAs 130-139 mmHg</li><li>PAd &lt; 80 mmHg</li></ul><li>&gt; 80 ans</li><ul><li>&lt; 140/90 mmHg</li></ul></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Il faut patienter au moins&nbsp;{{c1::1 mois}} avant d'évaluer l'efficacité d'un traitement médicamenteux de l'HTA.
Answer: 
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Traitement pharmacologique de l'HTA
Answer: <ul><li>1ere intention</li><ul><li>Bithérapie<br></li><ul><li>IEC | ARA2</li><li>&amp; Inhibiteur calcique | Thiazidique</li></ul></ul><li>2e intention</li><ul><li>IEC | ARA2<br></li><li>&amp; Inhibiteur calcique</li><li>&amp; Thiazdique</li></ul><li>3e intention</li><ul><li>+ spironolactone |&nbsp;β-bloquant</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Fréquence du suivi d'un patient hypertendu
Answer: <ul><li>6 premier mois</li><ul><li>∀ 1 mois</li></ul><li>Ensuite</li><ul><li>∀ 3-6 mois</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Suivi d'un patient hypertendu
Answer: <ul><li>Mesures de la PA</li><li>Surveillance et adaptation du traitement</li><li>Recherche d'hypotension orthostatique</li><li>Biologique</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: L'HTA de l'enfant est principalement&nbsp;{{c1::secondaire}}.
Answer: 80% des cas
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Suivi de la tension d'un enfant
Answer: <ul><li>Avant l'âge de 3 ans</li><ul><li>Uniquement si contexte</li></ul><li>Après l'âge de 3 ans</li><ul><li>Tous les ans</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Pression artérielle normale de l'enfant
Answer: <ul><li>&lt; 90e percentile</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Définition de l'hypertension artérielle chez l'enfant
Answer: <ul><li>&gt; 95e percentile</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Signes qui <b>ne</b> témoignent <b>pas</b> d'une atteinte d'organe dans la crise hypertensive
Answer: <ul><li>Accouphène</li><li>Phosphène</li><li>Epistaxis</li><li>Céphalée peu sévère</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Prise en charge d'une crise hypertensive
Answer: <ul><li>En ambulatoire</li><li>Adaptation du traitement oral</li><li>Recherche d'un facteur déclenchant</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Le degré de sténose des artères rénales tend à être&nbsp;{{c1::sur}}-estimer en&nbsp;{{c2::IRM}}.
Answer: 
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Physiopathologie de l'HTA maligne
Answer: <ul><li>HTA</li><ul><li>→ natriuèse de pression →&nbsp;hypovolémie →&nbsp;SRAA → etc.</li><li>→&nbsp;lésions vasculaires →&nbsp;SRAA → etc.<br></li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: HTA maligne
Answer: <ul><li>HTA de grade 3 | svr ↗</li><li>&amp; Rétinopathie hypertensive</li><li>&amp; Micro-angiopathie thrombotique</li><li>&amp; Coagulopathie</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Causes d'HTA maligne
Answer: <ul><li>Essentielle — 66%</li><li>Secondaire — 33%</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Causes d'HTA maligne essentielle
Answer: <ul><li>HTA négligée</li><li>↕ traitement<br></li><li>Œestro-progestatif</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Causes d'HTA maligne secondaire
Answer: <ul><li>Sténose de l'a. rénale</li><li>Glomérulonéphrite chronique</li><ul><li>Néphropathie à IgA</li></ul><li>Sclérodermie</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Prise en charge d'une urgence hypertensive
Answer: <ul><li>Eliminer une pathologie circonstancielle</li><li>Contrôle tensionnel</li><ul><li>-25% au début par titration IV</li><ul><li>Uradipil</li><li>| Nicardipine</li><li>› IEC</li></ul></ul><li>Contrôle de la volémie</li><ul><li>Hypovolémie</li><ul><li>NaCl 9%</li><li><u>PAS</u> de diurétique</li></ul><li>Insuffisance cardiaque</li><ul><li>Diurétique de l'anse</li><li>Dérivés nitrés</li></ul></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Objectifs tensionnels chez les patients IRC
Answer: <ul><li>Albuminurie ≥ 30 mg/g</li><ul><li>&lt; 130/80 mmHg</li></ul><li>Albuminurie &lt; 30 mg/g</li><ul><li>&lt; 140/90 mmHg</li></ul><li>&amp; PAs à 120 mmHg si toléré</li><li>&amp; PAs &gt; 110 mmHg</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Prodromes de l'HTA maligne
Answer: <ul><li>Dans la semaine précédente</li><ul><li>Asthénie</li><li>Amaigrissement</li><li>Déshydratation extra-cellulaire</li><li>Syndrome polyuro-polydyspique</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Signes de souffrance viscérale de l'urgence hypertensive
Answer: <ul><li>Neuro</li><ul><li>Encéphalopathie hypertensive</li></ul><li>Œil</li><ul><li>Rétinopathie hypertensive</li></ul><li>Cardio</li><ul><li>OAP hypertensif</li><li>Ischémie coronarienne</li><li>Dissection aortique</li></ul><li>Rein</li><ul><li>Insuffisance rénale aiguë</li></ul><li>Vaisseaux</li><ul><li>Microangiopathie</li><li>CIVD</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Encéphalopathie hypertensive
Answer: <ul><li>Trouble de conscience</li><li>Céphalées intenses</li><li>± Convulsions</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Classification de la rétinopathie hypertensive selon Wong et Mitchell
Answer: <ul><li>Minime</li><li>Modérée</li><li>Maligne</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: {{c1::La classification de Wong et Mitchell}} classe&nbsp;{{c2::les rétinopathies hypertensives}}.
Answer: 
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Drapeaux rouges devant une urgence hypertensive
Answer: <div><ul><li>Signe neurologique focal</li><li>Signe évocateur d'un SCA</li><li>Signe évocateur d'une dissection aortique</li><li>Contexte obstétrical</li></ul></div>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Rétinopathie hypertensive minime
Answer: <ul><li>Rétrécissement artériel</li><li>Signe du croisement</li><li>↗ reflet artériolaire</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Rétinopathie hypertensive modérée
Answer: <ul><li>Hémorragie rétinienne</li><li>Nodule cotonneux péri-papillaire</li><li>Exsudats secs</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Rétinopathie hypertensive maligne
Answer: <ul><li>Modérée</li><li>Œdème papillaire</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Examens complémentaires devant une urgence hypertensive
Answer: <ul><li>Étiologie</li><ul><li>β-hCG</li></ul><li>Retentissement</li><ul><li>Fond d'œil</li><li>ECG</li><li>NFS &amp; bilan d'hémolyse</li><li>Bilan rénal dont ECBU</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: {{c1::La MAPA::Méthode de mesure de la PA}} est la meilleure méthode pour&nbsp;{{c2::diagnostiquer l'HTA}}.
Answer: 
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: {{c1::L'automesure tensionnelle::Méthode de mesure de la PA}} est la meilleure méthode pour&nbsp;{{c2::surveiller l'HTA}}.
Answer: 
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Causes d'HTA secondaire
Answer: <ul><li>Toxique</li><ul><li>Médicament</li><li>Drogue</li></ul><li>Néphropathie</li><ul><li>Dont sténose des a. rénales</li></ul><li>SAHOS</li><li>Endocrinienne</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Causes d'HTA secondaire endocriniennes
Answer: <ul><li>Hyperaldostéronisme primaire | secondaire</li><li>Phéochromocytome</li><li>Syndrome de Cushing</li><li>Acromégalie</li><li>Hyperthyroïdie</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Particularités du traitement de l'HTA chez le &gt; 80 ans
Answer: <ul><li>Objectif</li><ul><li>&lt; 140/90 mmHg</li></ul><li>Traitement pharmacologique</li><ul><li>Jamais plus qu'une trithérapie</li><li>Plutôt commencer par une monothérapie</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Suivi d'un patient hypertendu biologique
Answer: <ul><li>∀ 1-2 ans</li><ul><li>Natrémie</li><li>Kaliémie</li><li>Créatininémie</li><li>Protéinurie</li></ul><li>∀ 3 ans</li><ul><li>Glycémie à jeun</li><li>Bilan lipidique</li></ul><li>∀ 3-5 ans</li><ul><li>ECG</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Traitement d'un phéochromocytome
Answer: <ul><li>Exérèse chirurgicale</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Traitement d'un hyperaldostéronisme primaire
Answer: <ul><li>Spironolactone</li><li>Surrénalectomie si unilatéral</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Traitement d'une sténose des a. rénales fibrodysplasiques
Answer: <ul><li>Angioplastie</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Traitement d'une sténose des a. rénales athéromateuses
Answer: <ul><li>Angioplastie si</li><ul><li>HTA résistante</li><li>OAP flash</li><li>Dégradation de la fonction rénale</li><ul><li>Sous IEC/ARA2</li><li>Sans cause</li></ul><li>↘ taille des reins</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Particularités du traitement de l'HTA chez l'enfant
Answer: <ul><li>Inhibiteur calcique</li><ul><li>En urgence en attente d'une consultation spécialisée</li><li>⚠ Formes sublinguales contre-indiquée</li></ul></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Complications oculaires de l'HTA
Answer: <ul><li>Obstruction</li><ul><li>OACR</li><li>OVCR</li><li>NOIA ¬ artéritique</li></ul><li>Rétinopathie hypertensive</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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Question: Causes de phéochromocytome génétiques
Answer: <ul><li>Maladie de Von-Hippel-Lindau</li><li>NEM2a et 2b</li><li>Neurofibromatose de type 1</li></ul>
Please read the corpus context (provided separately) and provide a short justification whether the card matches the context.
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