17 board-style questions on hypertension in the PulseMD family medicine question bank — physician-reviewed, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 28-year-old woman presents with severe hypertension (BP 186/112 mmHg). She reports episodic headaches, palpitations, and profuse sweating. She appears pale and tremulous during the visit. Heart rate is 108 bpm. Basic metabolic panel shows a glucose of 162 mg/dL. She takes no medications and has no family history of hypertension. What is the most appropriate initial diagnostic test?
A 62-year-old African American man with no diabetes or chronic kidney disease presents with newly diagnosed hypertension. His blood pressure is 152/94 mmHg confirmed on two separate visits. BMI is 31 kg/m2, basic metabolic panel is normal, and urinalysis shows no proteinuria. According to current ACC/AHA guidelines, which initial treatment is most appropriate?
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