Question 3 - Primary Care Management Question Bank

Basic HIV Primary Care.

Available Topics

1. Screening and Diagnosis3rd Edition

2. Basic HIV Primary Care3rd Edition

3. Antiretroviral Therapy3rd Edition

4. Co-Occurring Conditions3rd Edition

5. Prevention of HIV3rd Edition

6. Key Populations3rd Edition

Primary Care ManagementQuestion 3/15

A 60-year-old man with HIV presents for follow-up of HIV and hypertension. Three months ago, his blood pressure was 128/88 mm Hg. At that time, he initiated lifestyle changes. One week ago, his blood pressure was 137/85 mm Hg. At the current visit, his blood pressure is 134/86 mm Hg. He has several additional medical problems, including hyperlipidemia and gout; he does not have diabetes mellitus or renal disease. His medications are bictegravir-tenofovir alafenamide-emtricitabine and rosuvastatin. Using the atherosclerotic cardiovascular disease (ASCVD) risk calculator, his 10-year risk for heart disease and stroke is estimated at 12.8%.

Which one of the following is the best option for the management of hypertension in this man?

Start hydrochlorothiazide

Start metoprolol

Start doxazosin

Start losartan

Provide Question Feedback

Previous Question Skip Question

Prev Skip

Sign In or Register Progress Not Saved!
Since you are not signed in, your progress won't be saved.

Question Last Updated
January 27th, 2025

Table 1.
2017 Hypertension Guidelines: Blood Pressure Targets and Treatment Recommendations
BP Category	Systolic		Diastolic	Treatment or Follow-Up
Normal	<120 mm/Hg	and	<80 mm/Hg	Evaluate yearly; encourage healthy lifestyle changes to maintain normal BP
Elevated	120-129 mm/Hg	and	<80 mm/Hg	Recommend healthy lifestyle changes and reassess in 3 to 6 months
Hypertension: Stage 1	130-139 mm/Hg	or	80-89 mm/Hg	Assess the 10-year risk for heart disease and stroke using the atherosclerotic cardiovascular disease (ASCVD) risk calculator If risk is less than 10%, start with healthy lifestyle recommendations and reassess in 3 to 6 months If risk is greater than 10% or the patient has known clinical cardiovascular disease (CVD), diabetes mellitus, or chronic kidney disease, recommend lifestyle changes and BP-lowering medication (1 medication); reassess in 1 month for effectiveness of medication therapy If goal is met after 1 month, reassess in 3 to 6 months If goal is not met after 1 month, consider different medication or titration Continue monthly follow-up until control is achieved
Hypertension: Stage 2	≥140 mm/Hg	or	≥90 mm/Hg	Recommend healthy lifestyle changes and BP-lowering medication (initiate with 2 medications of different classes); reassess in 1 month for effectiveness If goal is met after 1 month, reassess in 3 to 6 months If goal is not met after 1 month, consider different medications or titration Continue monthly follow-up until control is achieved

Source:

Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2018;71:2199-2269. [PubMed Abstract]

Steps to Acquire CE for this Question Bank Topic:

Answer

Answer all questions

Score 80%+

Answer correctly

Claim CE

Choose CNE or CME

Give Feedback

Complete survey

Print Certificate

Obtain proof of CE

Single-Tablet Regimens

Long-Acting Injectable Regimens

Capsid Inhibitors

Entry Inhibitors

Integrase Strand Transfer Inhibitors (INSTI)

Nucleoside Reverse Transcriptase Inhibitors (NRTI)

Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTI)

Protease Inhibitors (PI)

Pharmacokinetic Enhancers

Self-Study Module3rd EditionCNE/CME Available

Lessons

Quick Reference3rd Edition

Lessons

Self-Study Module3rd EditionCNE/CME Available

Lessons

Quick Reference3rd Edition

Lessons

Self-Study Module3rd EditionCNE/CME Available

Lessons

Quick Reference3rd Edition

Lessons

Self-Study Module3rd EditionCNE/CME Available

Lessons

Quick Reference3rd Edition

Lessons

Self-Study Module3rd EditionCNE/CME Available

Lessons

Quick Reference3rd Edition

Lessons

Self-Study Module3rd EditionCNE/CME Available

Lessons

Quick Reference3rd Edition

Lessons

Basic HIV Primary Care.

Available Topics

Progress Tracker

HIV Question Bank

Primary Care ManagementQuestion 3/15

Questions in Topic

Which one of the following is the best option for the management of hypertension in this man?

2017 Hypertension Guidelines: Blood Pressure Targets and Treatment Recommendations

Steps to Acquire CE for this Question Bank Topic:

Sign In

Answer

Score 80%+

Claim CE

Give Feedback

Print Certificate