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A 25-year-old woman comes to the office for an examination. She is a student and exercises regularly. She is sexually active with a partner and uses oral contraceptive pills. Medical history is noncontributory. Family history includes a grandmother with coronary artery disease. Her temperature is 36.8°C (98°F), pulse is 87/min, respirations are 18/min, and blood pressure is 152/91 mm Hg. Physical examination shows no abnormalities. Over the next 3 months, her blood pressure is repeatedly elevated at clinic visits. Which of the following is the most appropriate first step in management? Alprazolam Cessation of oral contraceptive pills Hydrochlorothiazide Lisinopril Watchful waiting
SCIENCE
HEALTH SCIENCE
NURSING

 
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