You see a 38-year old African American male with HTN who is currently being treated with thiazide-type diuretic. His current BP reading is 156/94mm HG and
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he has no history of DM or CKD. Following current best evidence, you consider adding which of the following medications?
A. ACEI
B. ARBs
C. beta-adrenergic receptor antagonist
D. calcium channel blocker - Answer>>> D. calcium channel blocker
In obtaining an office BP measurement, which of the following is most reflective of the best practice?
A. the patient should sit in a chair with feet flat on the floor for at least 5 minutes before obtaining the reading
B. the BP cuff should not cover more than 50% of the upper arm
C. the pt should sit on the edge of the exam table w/o arm support to enhance reading accuracy
D. obtaining the BP reading immediately after the pt walks into the exam room is recommended - Answer>>> A. the patient should sit in a chair with feet flat on the floor for at least 5 minutes before obtaining the reading
According to JNC-8, a 52yo well woman with a healthy BMI whose BP is consistently 130-135/82-86mmHG is considered to have:
A. normal blood pressure
B. hypertension requiring therapy with a calcium channel blocker
C. hypertension requiring therapy with an alpha blocker
D. hypertension requiring therapy with a thiazide-type diuretic - Answer>>> A. normal blood pressure
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