A 49-year-old man has repeated office and home blood pressures averaging 134/84 mm Hg. He has no diabetes, no kidney disease, no smoking history, and

Question

A 49-year-old man has repeated office and home blood pressures averaging 134/84 mm Hg. He has no diabetes, no kidney disease, no smoking history, and 10-year ASCVD risk of 4%. BMI is 31 kg/m2 and urinalysis is normal. Which of the following is the most appropriate next step in management?

Accepted Answer

Lifestyle modification and repeat blood pressure assessment in 3 to 6 months

Answer

Start two antihypertensive drugs today

Answer

Start amlodipine today

Answer

Refer for stress echocardiography

Answer

Order renal artery duplex ultrasonography

Stage 1 hypertension — USMLE Step 3 MCQ

A 49-year-old man has repeated office and home blood pressures averaging 134/84 mm Hg. He has no diabetes, no kidney disease, no smoking history, and 10-year ASCVD risk of 4%. BMI is 31 kg/m2 and urinalysis is normal. Which of the following is the most appropriate next step in management?