01-18-2014, 02:25 AM
A 42-year-old African-American man presents
to his physician for a check-up. His father, who
is 65 years old, recently started dialysis, and the
patient wants to make sure he is healthy. A review
of systems is completely normal and he
has no physical complaints. The patient’s
blood pressure is 164/95 mm Hg, heart rate is
82/min, and he is afebrile. Chart review indicates
his blood pressure 2 years ago was 158/93
mm Hg. Results of fundoscopic and neurologic
examinations are normal. The remainder of
the physical examination is unremarkable, as
are laboratory test results. What is the most appropriate
therapy at this time?
(A) Diet and exercise
(B) Diltiazem and lisinopril
© Hydrochlorothiazide alone
(D) Hydrochlorothiazide and lisinopril
(E) Lisinopril alone
to his physician for a check-up. His father, who
is 65 years old, recently started dialysis, and the
patient wants to make sure he is healthy. A review
of systems is completely normal and he
has no physical complaints. The patient’s
blood pressure is 164/95 mm Hg, heart rate is
82/min, and he is afebrile. Chart review indicates
his blood pressure 2 years ago was 158/93
mm Hg. Results of fundoscopic and neurologic
examinations are normal. The remainder of
the physical examination is unremarkable, as
are laboratory test results. What is the most appropriate
therapy at this time?
(A) Diet and exercise
(B) Diltiazem and lisinopril
© Hydrochlorothiazide alone
(D) Hydrochlorothiazide and lisinopril
(E) Lisinopril alone