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Hypertension
A practice question in the style of the MCCQE MCQ exam. Choose your answer to see the explanation.
A 52-year-old man has a blood pressure of 148/94 on one reading taken immediately after he walked into the clinic. He has no symptoms. What is the most appropriate next step?
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The answer is B: Repeat with standardized technique and confirm out of the office.
A single reading taken without rest does not diagnose hypertension. Use a validated automated device with three readings one minute apart after rest, and confirm with home or ambulatory monitoring where possible. Treatment and tests for secondary causes come after the diagnosis.
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