#august2020mccqe1
A 49-year-old man presents to the clinic for a health maintenance visit. He has no complaints, but he requests a prescription for his “pressure pills,” as he lost his original prescription. On physical examination his blood pressure is 220/130 mm Hg. Physical examination is otherwise within normal limits. Laboratory tests show:
Na+: 142 mEq/L
K+: 3.8 mEq/L
Cl−: 105 mEq/L
Carbon dioxide: 25 mEq/L
Blood urea nitrogen: 20 mg/dL
Creatinine: 1.0 mg/dL
Glucose: 133 mg/dL
Urinalysis is within normal limits, and his ECG is normal. Which of the following is the most effective management?
(A) Administer intravenous nitroprusside for management of hypertensive emergency
(B) Administer intravenous nitroprusside for management of hypertensive urgency
(C) Administer oral furosemide for management of hypertensive emergency
(D) Administer oral metoprolol for management of hypertensive urgency
(E) Administer sublingual nifedipine for management of hypertensive emergency
A 49-year-old man presents to the clinic for a health maintenance visit. He has no complaints, but he requests a prescription for his “pressure pills,” as he lost his original prescription. On physical examination his blood pressure is 220/130 mm Hg. Physical examination is otherwise within normal limits. Laboratory tests show:
Na+: 142 mEq/L
K+: 3.8 mEq/L
Cl−: 105 mEq/L
Carbon dioxide: 25 mEq/L
Blood urea nitrogen: 20 mg/dL
Creatinine: 1.0 mg/dL
Glucose: 133 mg/dL
Urinalysis is within normal limits, and his ECG is normal. Which of the following is the most effective management?
(A) Administer intravenous nitroprusside for management of hypertensive emergency
(B) Administer intravenous nitroprusside for management of hypertensive urgency
(C) Administer oral furosemide for management of hypertensive emergency
(D) Administer oral metoprolol for management of hypertensive urgency
(E) Administer sublingual nifedipine for management of hypertensive emergency
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