A 54-year-old with newly diagnosed hypertension has average office BPs 162/98 mm Hg despite lifestyle changes. No CKD, diabetes, or ASCVD. What is the...

Question

A 54-year-old with newly diagnosed hypertension has average office BPs 162/98 mm Hg despite lifestyle changes. No CKD, diabetes, or ASCVD. What is the recommended initial pharmacologic approach?

Accepted Answer

Initiate two first-line drugs from different classes (e.g., thiazide diuretic plus ACE inhibitor or CCB).

Answer

Start a beta-blocker and reassess in 1 month.

Answer

Begin ACE inhibitor monotherapy.

Answer

Start spironolactone monotherapy.

Answer

Defer medications until home BP monitoring confirms averages >=160/100.

us-abfm MCQ (SBA): Hypertension

A 54-year-old with newly diagnosed hypertension has average office BPs 162/98 mm Hg despite lifestyle changes. No CKD, diabetes, or ASCVD. What is the recommended initial pharmacologic approach?