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Hypertension diagnosis — MCCQE Part 1 MCQ

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EasyPreventive MedicineHypertension diagnosisMCCQE Part 1

A 45-year-old man has repeated office blood pressures around 146/92 mmHg. He feels well and has no end-organ symptoms. Which of the following is the most appropriate next step?

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Correct answer: E — Confirm hypertension using standardized measurement and out-of-office or repeated readings according to Hypertension Canada guidance

Hypertension diagnosis requires accurate standardized measurement and confirmation, often with home or ambulatory readings. Symptoms are usually absent, so lack of symptoms does not exclude risk. Treatment decisions depend on confirmed BP level and cardiovascular risk.

Reference: Hypertension Canada 2025 Guideline