A woman on a thiazide noticed BP 145/95 while shopping, then 130/85 later. No symptoms. Cardiovascular risk 5%. What should be done?
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الإجابة والشرح
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الإجابة: A. Continue the same medication
A single high reading while shopping is not a basis for changing therapy; the repeat reading (130/85) is below the <140/90 target for age <80, so BP is controlled — continue the thiazide and reassess periodically. Statins are indicated for ASCVD risk ≥7.5% (with LDL criteria); her 5% risk does not justify adding aspirin and a statin.
ليش كل خيار صح أو غلط
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A
ليش صح
Once BP is controlled, the plan is to reassess after 3-6 months and annually if stable, not to change therapy. The later reading of 130/85 shows control.
✓ CARDIOLOGY-HTN.pdf · p. 9 -
B
ليش غلط
Treatment is escalated only if BP stays uncontrolled. A single high reading followed by a lower one does not justify replacing the drug.
✓ CARDIOLOGY-HTN.pdf · p. 9 -
C
ليش غلط
A statin is started at an estimated 10-year ASCVD risk of 7.5% or more (with LDL 70-189 mg/dL). Her risk is 5%, below that threshold.
✓ Dr. Al-Ahmadi - Dyslipidemia and Aortic Dissection✅.pdf · p. 3
- المصدر
- CARDIOLOGY-HTN.pdf · p. 9
Dr. Al-Ahmadi - Dyslipidemia and Aortic Dissection✅.pdf · p. 3 - المحاضرة
- Hypertension · Cardiology · Module B
- ظهر في
- MED41 ♀ EOM B