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A Middle-Aged Patient Has a Follow Up Visit for a Recorded

Question 13

Multiple Choice

A middle-aged patient has a follow up visit for a recorded blood pressure of 162/96 mm Hg taken 3 weeks ago.The patient has no significant past medical history and takes no medications,but smokes 1 1/2 packs of cigarettes per day,drinks alcohol regularly,and exercises infrequently.The patient is about 40 lbs.overweight and admits to a high-fat,high-calorie diet.At the office visit today,the patient's blood pressure is 150/92 mm Hg.What is the least appropriate intervention for this patient at this time?


A) Begin lifestyle modifications.
B) Begin antihypertensive drug therapy.
C) Recheck blood pressure in 4 to 6 weeks.
D) Encourage smoking cessation.

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