Your patient is a 48-year-old postmenopausal female with recent onset of stage I hypertension. She has a history of osteoporosis. On exam, her blood pressure is 155/90, heart rate is 80 and regular, and respirations are 16. Cardiovascular examination is unremarkable. She has no other medical history. She has previously been controlling her hypertension with lifestyle modifications and diet. Which of the following medications is the best choice for initial pharmacological treatment of her hypertension?
A. Calcium channel blocker
B. Thiazide diuretics
C. Angiotensin receptor blocker
D. Alpha-adrenergic blocker
E. Angiotensin converting enzyme inhibitor
Filed under: USMLE STEP III QUESTION BANK, USMLE Test Prep | Tagged: Archer cardiology, archer general internal medicine, internal medicine board review, USMLE STEP 3 CARDIOLOGY |
Ans..calcium channel blockers
B
B. There is already strong data supporting HCTZ increases bone mineral density not so much for CCB
Excellent!