At her first visit with you, Ms. Ryan, a 55-year-old school teacher, is checked in by the medical assistant with a blood pressure of 155/92. Ms. Ryan reports no history of HTN or CVR disease and is asymptomatic. Repeat BP performed by you gives a reading of 148/85. In addition to ordering labwork and an ECG, you :
A) Suggest lifestyle modifications such as weight loss, stress reduction, and a DASH diet, and start Ms. Ryan on hydrochlorothiazide (HCTZ) 12.5 mg daily
B) Suggest lifestyle modifications (as above) , refer Ms. Ryan for an exercise stress test, and start a beta blocker daily
C) Suggest lifestyle modifications and start an ACEI
D) Discuss lifestyle modifications and schedule Ms. Ryan back for repeat BP readings in 2-4 weeks
Correct Answer:
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