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Chronic Hypertension

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A 36-year-old primigravida has a 2-year history of chronic hypertension that is well controlled with medication. She monitors her blood pressure at home, and at her 16-week appointment, she is thrilled to report a drop in her blood pressure. What is the best response to this information?

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a. She should discontinue her medication at this time.

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b. Chronic hypertension typically improves early in pregnancy.

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c. This finding predicts a favorable prognosis for her pregnancy.

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d. None of the above

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Which of the following factors may influence blood pressure?

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a. Race

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b. Weight

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c. Gender

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d. All of the above

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Which of the following blood pressure measurements meets the criteria for “prehypertension” as defined by the Joint National Committee 7?

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a. Diastolic blood pressure 70–80 mm Hg

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b. Diastolic blood pressure 90–95 mm Hg

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c. Systolic blood pressure 120–130 mm Hg

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d. Systolic blood pressure 140–150 mm Hg

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An African-American patient presents for her annual gynecologic examination and has a blood pressure reading of 142/92 mm Hg. After checking it at home several more times, she calls to report persistent readings of 140–150/90–100 mm Hg. What medication is appropriate as initial therapy for most nonpregnant patients?

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a. Enalapril

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b. Labetalol

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c. Losartan

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d. Hydrochlorothiazide

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What is the target blood pressure you are attempting to achieve with this therapy?

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a. < 120/90 mm Hg

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b. < 130/80 mm Hg

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c. < 140/90 mm Hg

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d. < 150/100 mm Hg

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Which of the following factors is an indication for evaluation of renal function in a patient with chronic hypertension who is considering pregnancy?

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a. Age of 45 ...

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