A 42-year old Caucasian female with no prior history of medical problems presents for an annual physical exam. The medical assistant assesses the patient's blood pressure one minute after the patient enters the room. The BP measurement is done with the patient seated on the elevated exam table and ...
HYPERTENSION EXAM 2024
QUESTIONS & ANSWERS 100%
VERIFIED!
A 42-year old Caucasian female with no prior history of medical problems presents for
an annual physical exam. The medical assistant assesses the patient's blood pressure
one minute after the patient enters the room. The BP measurement is done with the
patient seated on the elevated exam table and utilizes the patient's left arm. You see
that the BP is 142/88. Which of the following actions is most appropriate?
A. Educate the patient about the DASH diet and order ambulatory blood pressure
monitoring
B. Educate the patient about the DASH diet and prescribe hydrochlorothiazide
C. Order lab studies to evaluate for chronic kidney disease, primary aldosteronism, and
pheochromocytoma
D. Repeat the BP assessment in either arm after allowing the patient to sit quietly in a
chair for 5 minutes
E. Repeat the BP assessment in the right arm with the patient seated on the exam
table - ANSWERSD
A 75 year old male is evaluated for surgery. His blood pressure is 178/80. He states that
he is in good health. He denies cigarette or alcohol use. He has no prior history of heart
disease, kidney disease, diabetes, or hypertension. He has a history of hyperlipidemia
and asthma. What should his blood pressure goal be?
A. <130/90
B. <120/80
C. <150/90
D. <150/70
E. <140/90 - ANSWERSC
A 75-year-old black-male is evaluated for surgery. His blood pressure is 159/95. He
states that he is in good health. He denies cigarette or alcohol use. He has no prior
history of heart disease, kidney disease, diabetes, or hypertension. He has a history of
hyperlipidemia and asthma. Which describes the best approach to blood pressure
management?
, A. Lifestyle modification and propranolol
B. Lifestyle modification and calcium channel blocker
C. No treatment necessary
D. Lifestyle modification
E. Lifestyle modification and ACE inhibitor therapy - ANSWERSB
A 40-year-old male is examined by his physician during a general checkup. His blood
pressure is 130/89. He is 5'7" and weighs 215 lbs. His resting heart rate is 76 bpm. He
has no history of heart failure, diabetes, or kidney disease. What should be your
response to the treatment of this patient?
A. Advise diet and lifestyle management
B. Initiate thiazide diuretic therapy
C. Initiate a combination therapy of ACE inhibitors and ARBs
D. Instruct them to stop drinking alcohol
E. Explain to him that he is a joke and to get out of your office - ANSWERSA
A 40-year-old black-male is examined by his physician during a general checkup. His
blood pressure is 155/89. He is 5'7" and weighs 205 lbs. He has no history of heart
failure, diabetes, or kidney disease. Which of the following treatments would you be less
favorable to prescribe because data suggests that this class of drugs is less effective in
population studies?
A. ACE inhibitor
B. Lifestyle changes
C. Thiazide Diuretic
D. combination therapies
E. Calcium Channel Blocker - ANSWERSA
A 40 year old male is examined by his physician during a general checkup. His blood
pressure is 130/89. He is 5'7" and weighs 250 lbs. Which of the following lifestyle
modifications could result in the most significant reduction in systolic blood pressure in
this patient?
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