A 45-year-old with stage 1 hypertension (132/84 mm Hg) and 10-year CVD risk 4% adopts DASH diet and exercise for 3 months but remains at 132/84. Next ...

Question

A 45-year-old with stage 1 hypertension (132/84 mm Hg) and 10-year CVD risk 4% adopts DASH diet and exercise for 3 months but remains at 132/84. Next best step per current guidance?

Accepted Answer

Start a thiazide diuretic and reassess in 1 month

Answer

Continue lifestyle only for another 6-12 months

Answer

Start a beta-blocker

Answer

Start dual therapy with ACE inhibitor and CCB

Answer

Order renal artery Doppler ultrasound now

us-abfm MCQ (SBA): Hypertension

A 45-year-old with stage 1 hypertension (132/84 mm Hg) and 10-year CVD risk 4% adopts DASH diet and exercise for 3 months but remains at 132/84. Next best step per current guidance?