The upper extremities appear to be more muscular t - cutierp

[ArchivalUser]

. An 18-year-old man comes to the physician 1 week after he had a blood pressure of 140/110 mm Hg during a routine precollege examination. His temperature is 37.1 C (98.7 F), blood pressure is 140/100 mm Hg, pulse is 92/min, and respirations are 12/min. The upper extremities appear to be more muscular than the lower extremities. Radial pulses are normal; femoral, posterior tibial, and dorsalis pedis pulses are decreased. A grade 2/6 systolic murmur is heard over the precordium, anterior chest, and back. An ECG shows left ventricular hypertrophy. Which of the following is the most appropriate next step in management?

A ) Limiting physical activity

B ) Repeat blood pressure measurement in 1 month

C ) Initiate a low-sodium diet and exercise program

D ) Pharmacologic management

E ) Operative treatment

[ArchivalUser]

E...

[ArchivalUser]

coarctation
E

[ArchivalUser]

thats absolutely right....COA

[ArchivalUser]

I do agree with u guys but I have a q. isn't E would be the BEST STEP rather than most appropriate next step in the manag. ? I am bit confuesd bet. best & most appro. step.
can somebody clear this for me, I thank u in advance.

[ArchivalUser]

I was thinking the same way, but if you look at the choices their is no one of them could be the best next step.

[ArchivalUser]

thanks aiissman, I was thinking most appro. next step = best initial step, am I right ?