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Thread: 150/95

  1. #1
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    150/95

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    Q) 34 yo white man, HTN: 150/95. No other diseases. (not mention primary or secondary HTN). What drug you should prescribe to him:

    1.b-blocker
    2.ACE I
    3.Diuretics
    4.Ca blocker



























    This is from ghost files
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    why even bother with the obvious. Just know where you are need it and where you can help the most.

  2. #2
    MDXRS22's Avatar
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    A= 4


    I am quite sure: ca Ch blocker should do just fine. Ace could have been, but the scenario does not ask for such.
    I need to think about something...maybe you know what...

  3. #3
    rose.82 is offline Junior Member 510 points
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    Hello IMG SURVIVOR and MDXRS22,

    I think the answer is 3 .What do you think?

  4. #4
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    winston is offline Junior Member 510 points
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    Hydrochlorothoazide or Amlodipine are the first line for essential HTN.....so I think its either 3 or 4......if I had to guess I'd go with 3......though not sure
    "Anything worth doing is worth overdoing."
    -Mick Jagger

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    MDXRS22's Avatar
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    Quote Originally Posted by rose.82 View Post
    Hello IMG SURVIVOR and MDXRS22,

    I think the answer is 3 .What do you think?
    Rose,

    Like the previous poster said, too, the answer must be 3 or 4. I am sure you are right.
    I need to think about something...maybe you know what...

  6. #6
    qtncaribbean is offline Junior Member
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    diuretics - hctz

  7. #7
    randhawa86 is offline Newbie 510 points
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    i also agree answer number three is correct.

  8. #8
    drrajpoonia is offline Newbie 510 points
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    i think first choice in essential htn is diuretics,isn`t it?

  9. #9
    angjr is offline Newbie
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    I would answer B Blockers (1)

    Remember that in whites the etiology of Hypertension is due to catecholamines excess (too much stress)...

  10. #10
    lifeAgift's Avatar
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    5. No drugs

    Repeat BP myself
    Repeat Med Hx to insure/confirm no usage of OTC, herbal supplements, Stacker, Guarana etc...

    then

    Chiropractic Adjusment
    Dietary Change ( Especial Caffeine Elimination, White sugar and Red Meat)
    Exercise
    Stress Reduction

    Pt to repeat and log BP weekly ( same day and time)
    If no improvement after 12 weeks and all the above advice is followed then I'd consider treating with a CA Blocker

    At the age of 34 with no fam hx - 12 weeks of behavior modification, lifestyle and environment changes would be more beneficial than meds first.

    Additionally, allowing the PT. some initial personal responsibility for the outcome might improve future drug protocol adherance.

    I'M NO PUSHER
    Last edited by lifeAgift; 06-21-2008 at 04:09 PM.

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