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White coat hypertension — ABFM Board MCQ

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EasyCardiovascularWhite coat hypertensionABFM Board

A 45-year-old woman has three office blood pressures between 142/88 and 148/92 mm Hg. She runs 3 miles most days and has no diabetes, kidney disease, or cardiovascular disease. She reports normal readings at a pharmacy kiosk but has not kept a log. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Confirm the diagnosis with home or ambulatory blood pressure monitoring

Elevated office readings should be confirmed with out-of-office measurements before starting long-term treatment when there is no urgent indication.

Reference: USPSTF A and B Recommendations: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations