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Newly diagnosed hypertension — MCCQE Part 1 MCQ

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ModerateHypertensionNewly diagnosed hypertensionMCCQE Part 1

A 52-year-old man has repeated automated office blood pressure readings averaging 138/84 mmHg. He has chronic kidney disease stage 3 and a 10-year cardiovascular risk of 18%. He does not smoke and has no diabetes. What is the most appropriate next step in management?

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Correct answer: C — Confirm with standardized measurement and begin lifestyle plus pharmacologic treatment

Hypertension Canada 2025 defines hypertension at 130/80 mmHg with validated standardized measurement and recommends treatment decisions based on risk and comorbidity. CKD and elevated cardiovascular risk support pharmacologic therapy alongside lifestyle measures. This is not a hypertensive emergency, and maximal multi-drug therapy is not an appropriate first step.

Reference: Hypertension Canada 2025