The Correct Answer is C!

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A 65-year-old man presents for a general evaluation. He has been active without any known medical problems aside from orthopedic surgeries. On exam, he has a BP 145/85 and HR 76 without evidence of heart failure. He was told to buy a home BP monitor, and his BP is consistently running 135-148/80-88 mmHg after one month. He is following lifestyle modifications as recommended.

What is the next step in management?

  1. Look for secondary causes of HTN
  2. Start thiazide
  3. Continue lifestyle modifications and follow BP
  4. Start ACE inhibitor

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1.  Source: "Comparative Analysis of Pre/Post Assessments of Live/Didactic Course Attendees when compared to Mico-Learning/Online Course Users., "Knowledge to Practice, 2017.