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Stage 1 hypertension management — ABFM Board MCQ

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HardCardiovascularStage 1 hypertension managementABFM Board

A 45-year-old woman has blood pressure 132/84 mm Hg at two visits. She has no cardiovascular disease, diabetes, or kidney disease, and estimated 10-year cardiovascular risk is 3%. 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: ELifestyle modification and reassessment

Stage 1 hypertension with low cardiovascular risk is managed initially with lifestyle modification and reassessment. Medication is generally added when risk is higher or blood pressure remains above goal after lifestyle therapy.

Reference: ACC/AHA High Blood Pressure Guideline, 2025