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Chronic Hypertension

Which of the following factors does not impact resting blood pressure reading?

a. Race

b. Gender

c. Activity level

d. Age and weight

The threshold of 140/90 mm Hg as the upper limit of normal is based on which of the following?

a. Actuarial tables based on data from white adult males

b. A large, widely sampled international population of men and women of various ages with no known health complications

c. The discrete point at which risk for myocardial infarction, stroke, renal failure, and peripheral artery disease sharply increases

d. None of the above

A 37-year-old G2P2 with no medical diagnoses and a normal body mass index saw your partner for an annual well woman exam. Her blood pressure was 142/92 mm Hg, and after checking several times over the next week at home, she calls with a blood pressure log that ranges from 140–154/90–100 mm Hg. Your partner is now out on maternity leave, so prior to calling her back you ask your nurse to confirm that patient’s ethnicity. Why is her ethnicity important in your recommendations to initiate an antihypertensive agent?

a. Beta blockers are recommended as initial therapy in the Asian population.

b. Beta blockers are not recommended as initial therapy in the Asian population.

c. Angiotensin-converting enzyme inhibitors and angiotensin-receptor blockers are recommended as initial therapy in the black population.

d. Angiotensin-converting enzyme inhibitors and angiotensin-receptor blockers are not recommended as initial therapy in the black population.

A 37-year-old G2P2 with no medical diagnoses and a normal body mass index saw your partner for an annual well woman exam. Her blood pressure was 142/92 mm Hg, and after checking several times over the next week at home, she calls with a blood pressure log that ranges from 140–154/90–100 mm Hg. Your partner is now out on maternity leave, so prior to calling her back you ask your nurse to confirm that patient’s ethnicity. According to the recommendations of the Eighth Joint National Committee, what is your goal blood pressure with therapy?

a. <120/80 mm Hg

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