A 64-year-old with repeated clinic BPs averaging 152/92 mmHg and no compelling indications presents for initial pharmacologic therapy. According to th...

Question

A 64-year-old with repeated clinic BPs averaging 152/92 mmHg and no compelling indications presents for initial pharmacologic therapy. According to the latest U.S. guideline, what is the best initial approach?

Accepted Answer

Start two first-line agents from different classes (e.g., thiazide + ACE inhibitor)

Answer

Start a single low-dose beta-blocker

Answer

Defer pharmacotherapy and repeat BP in 6 months

Answer

Start clonidine transdermal patch

Answer

Start hydralazine monotherapy

us-abfm MCQ (SBA): Hypertension

A 64-year-old with repeated clinic BPs averaging 152/92 mmHg and no compelling indications presents for initial pharmacologic therapy. According to the latest U.S. guideline, what is the best initial approach?