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Hypertension screening — USMLE Step 2 CK MCQ

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EasyPreventive Medicine & BiostatisticsHypertension screeningUSMLE Step 2 CK

A 60-year-old Hispanic woman comes to the clinic because of a preventive health visit. History and focused examination are notable for asymptomatic adult at a health maintenance visit. Temperature is 98.6°F (37.0°C), blood pressure is 126/78 mmHg, pulse is 84/min, respirations are 16/min, and oxygen saturation is 98% on room air. Physical examination confirms the key finding and shows no unrelated abnormality that would better explain the presentation. The patient has no symptoms, no abnormal physical examination findings, and no previous result that would change routine evidence-based screening. Which of the following is the most appropriate screening test?

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

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Correct answer: E — Office blood pressure measurement confirmed outside the clinical setting

The vignette describes Hypertension screening, supported by asymptomatic adult at a health maintenance visit. Office blood pressure measurement confirmed outside the clinical setting is the single best answer because it matches the diagnostic or management priority in this clinical setting. The other choices are plausible alternatives in related presentations, but they do not best fit the timing, findings, and guideline-directed approach described here.

Reference: USPSTF 2021 Hypertension Screening Recommendation