17. A 42-year-old woman comes for a follow-up examination. Two weeks ago, her blood pressure was 152/94 mm Hg during a routine visit. Her blood pressure today is 150/94 mm Hg, pulse is 76/min, and respirations are 14/min. Examination shows no other abnormalities. Serum studies show:
An ECG shows no abnormalities. Which of the following is the most appropriate next step in management?
A) Measurement of plasma renin activity
B) Serum lipid studies
C) 24-Hour urine collection for measurement of metanephrine level
D) Echocardiography
E) Captopril renal scan
Pls explain ur answer n how u r/o others, thx
Justice Forum Fanatic
Topics: 117 Posts: 2,324
06/12/07 - 07:56 PM
#2
A) Measurement of plasma renin activity for (B), normal EKG disfavours atherosclerosis for (C), no cyclic symptom presentation for (D), no hypertrophy on EKG is seen for (E), this will be second step after (A) ___________________ Don't live in a town where there are no doctors
robin082006 Forum Hero
Topics: 471 Posts: 5,123
06/12/07 - 07:57 PM
#3
this may be essential hypertension-->B
Serum studies show no abnormalities--> less like to be secondary hypertension. ___________________ The Key to Succeed is Patience.
doyoudig Forum Guru
Topics: 144 Posts: 613
06/12/07 - 08:04 PM
#4
I also thought it was B, b/c K n Na levels are normal
arlete Attending in 2012!!!!!
Topics: 43 Posts: 3,036
06/13/07 - 10:50 AM
#5
B ___________________ Que sera sera, whatever will be will be.
Adam Forum Senior
Topics: 6 Posts: 136
06/13/07 - 12:44 PM
#6
I also thought it was B, b/c K n Na levels are normal
___________________ I will not say I failed 1000 times.. I will say that I discovered there are 1000 ways that can cause failure ..
