A 61-year-old woman returns after 1 month of lifestyle changes for hypertension. Her home blood pressure log averages 151/88 mm Hg. She has no

Question

A 61-year-old woman returns after 1 month of lifestyle changes for hypertension. Her home blood pressure log averages 151/88 mm Hg. She has no diabetes, chronic kidney disease, or cardiovascular disease. Serum creatinine and potassium are normal. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Start chlorthalidone

Answer

Order plasma renin and aldosterone

Answer

Start minoxidil

Answer

Start clonidine

Answer

Continue lifestyle therapy without medication

Hypertension — USMLE Step 3 MCQ