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32. A 68-year-old Caucasian female presents with hypertension and BP of 152-158/92-96 mm Hg document
32. A 68-year-old Caucasian female presents with hypertension and BP of 152-158/92-96 mm Hg documented over 2 months on three different occasions. Electrocardiogram (ECG) and creatinine are normal, and she has no proteinuria. Clinical findings include the following: BMI 26.4 kg/m2, no S3, S4, or murmur; and point of maximal impulse at fifth intercostal space, mid clavicular line. Which of the following represents the best intervention? O c. Initiate therapy with methyldopa. O a. Initiate therapy with metoprolol. O b. Initiate therapy with hydrochlorothiazide. O d. Continue to monitor BP, and start drug therapy if evidence of target organ damage.
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