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Chapter 27. Hypertension MTM Data Set

A 55-year-old Hispanic male is seen in the MTM clinic for management of his hypertension. The average of his last several blood pressure readings is 166/94 mmHg. Which of the following is the most appropriate classification of his hypertension?

a. Stage 1 hypertension

b. Stage 2 hypertension

c. Isolated systolic HTN

d. Hypertensive urgency

Answer b.

All of the following can affect the accuracy of blood pressure measurements EXCEPT:

a. use of a digital blood pressure monitor for the blood pressure measurement.

b. temperature of the room in which blood pressure is measured.

c. ingestion of caffeine prior to the blood pressure measurement.

d. skill of the practitioner performing the blood pressure measurement.

Answer a.

An 82-year-old white male has a history of hypertension, dyslipidemia, and gout. Which of the following is an appropriate blood pressure goal for this patient?

a. <130/80 mmHg

b. <140/80 mmHg

c. <140/90 mmHg

d. <150/90 mmHg

Answer d.

Which of the following best describes how you would explain the use of a β-blocker to a patient using living room language?

a. A medication for your hypertension.

b. A blood pressure medicine that works by slowing down how fast the heart beats and decreasing the body’s reaction to stress.

c. A blood pressure medicine that works by blocking response to stimuli from the sympathetic nervous system.

d. A blood pressure medicine that exerts its mechanism by blocking β-receptors in the heart.

Answer b.

All of the following are appropriate for inclusion on the medication action plan of a patient with high blood pressure EXCEPT:

a. Monitor your hypertension 3 times weekly with a sphygmomanometer.

b. Write down your blood pressure readings and bring them to your next visit.

c. Avoid adding salt to your food at the table.


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