A 47-year-old with BP 148/92 mm Hg on repeat averaged office readings has 10-year ASCVD risk 12% and no CKD/diabetes. Best initial management?...

Question

A 47-year-old with BP 148/92 mm Hg on repeat averaged office readings has 10-year ASCVD risk 12% and no CKD/diabetes. Best initial management?

Accepted Answer

Start thiazide-type diuretic or ACEI/ARB and lifestyle

Answer

Initiate lifestyle only; recheck in 6 months

Answer

Start beta-blocker monotherapy

Answer

Order secondary hypertension workup immediately

Answer

Start two antihypertensives at maximum doses

us-abfm MCQ (SBA): Hypertension