Essential hypertension Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 55-year-old woman presents to her primary care physician for a follow-up appointment for elevated blood pressure measurements. Two weeks ago, her blood pressure was 134/81 mmHg. She reports occasional headaches and fatigue and denies chest pain, weight loss, or changes in bowel habits. She has no significant past medical history and does not take any medications. Her family history is notable for dyslipidemia in her father and hypertension in her mother. She has a 20-pack-year smoking history and exercises infrequently. Her BMI is 28 kg/m². Physical examination is unremarkable. Her 24-hour ambulatory blood pressure monitoring reveals a mean blood pressure of 136/82 mmHg. Laboratory results are unremarkable. Her 10-year ASCVD risk is calculated at 6%. Which of the following is the most appropriate next step in the management of this patient’s blood pressure?

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Renal ultrasound

Beta-blocker therapy

DASH diet and increased physical activity

Smoking cessation

ACE inhibitor therapy