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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 4/Question#39 (reveal difficulty score)
A 47-year-old man comes to the physician for ...
Schedule a follow-up examination in 1 month ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: cardio repeat

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 -1  upvote downvote
submitted by โˆ—charcot_bouchard(574)
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Probably HTN. COnfirm with next follow up (idk the exact time limit, but common sense is As early the better).

After that if he surely has HTN first treat with lifestyle than meds. Lifstyle in order of efficacy wt loss DASH diet Exercise Diet low in sodium ALcohol avoiding

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 -5  upvote downvote
submitted by โˆ—step_prep3(25)
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  • Middle-aged man found to have elevated blood pressure for the first time, and therefore should be initially managed with a trial of lifestyle modifications

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kalam  The answer is not because of lifestyle modifications being the next step, but mostly because the diagnosis of hypertension requires multiple things: in-office HTN + having patient take blood pressure at home periodically and then follow up in the office. The only time an isolated single time of high blood pressure can immediately be diagnostic of hypertension is BP >180/>120 (urgency or emergency, OR >160/>100 + evidence of end organ damage. +5
tinylilron  I feel like we do re-evaluation in 3 months... or is 1 month the new guidelines? +



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