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An African-American patient who is being treated with a thiazide diuretic for chronic hypertension reports blurred vision and shortness of breath. The provider notes a blood pressure of 185/115. What is the recommended action for this patient?


A) Add a beta blocker to the patient's regimen.
B) Admit to the hospital for evaluation and treatment.
C) Increase the dose of the thiazide medication.
D) Prescribe a calcium channel blocker.

E) A) and B)
F) C) and D)

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B

A 55-year-old patient has a blood pressure of 138/85 on three occasions. The patient denies headaches, palpitations, snoring, muscle weakness, and nocturia and does not take any medications. What will the provider do next to evaluate this patient?


A) Assess serum cortisol levels
B) Continue to monitor blood pressure at each health maintenance visit
C) Order urinalysis, CBC, BUN, and creatinine
D) Refer to a specialist for a sleep study

E) All of the above
F) B) and C)

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C

Which are causes of secondary hypertension (HTN) ? (Select all that apply.)


A) Increased salt intake
B) Isometric exercises
C) Nonsteroidal anti-inflammatory (NSAID) drugs
D) Oral contraceptives (OCPs)
E) Sleep apnea

F) D) and E)
G) A) and E)

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C, D, E

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