A 68-year-old male presented to the primary care physician for his annual visit. His past medical history was significant for mildly elevated blood pressure during the prior annual visit. He was in good health, otherwise. He was advised to reduce salt intake and increase physical activity during that visit. On physical examination, his blood pressure is 178/72 mm Hg, with no clinically significant differences between arms or on standing. He has a body mass index of 28.4 kg/m2 (normal: 18-25 kg/m2). The examination is otherwise unremarkable. Urinalysis is normal. The nonfasting blood glucose level is 95 mg/dL (normal: 80-100 mg/dL), serum potassium is 4.2 mEq/L (normal: 3.5-5 mEq/L), and creatinine is 1.2 mg/dL (normal: 0.7-1.4 mg/dL). Which of the following high blood pressure-related conditions would he most likely have?

A 30-year-old man comes to the office for follow-up of hypertension. Two weeks ago, his blood pressure was 160/95 mm Hg when taken at a community health fair. He denies chest pain and headache but has experienced some muscle pain and weakness. He has no significant medical history and does not take any medications. Family history is remarkable for coronary artery disease and hypertension. He does not smoke cigarettes or use illicit drugs. He drinks approximately 2-3 alcoholic beverages monthly. Today, his pulse is 84/min and blood pressure is 152/90 mm Hg. BMI is 24 kg/m2. His mucous membranes are moist. Cardiopulmonary examination is normal. There is no papilledema. Laboratory results show:Serum   Na+ 141 mEq/L   K+ 2.6 mEq/L   Ca2+ 9.3 mg/dLGlucose 82 mg/dLCreatinine 0.9 mg/dLThyroid-stimulating hormone 2.0 μU/mLWhich of the following is the most appropriate next step in the evaluation of this patient?

A 46-year-old man comes to the office for follow-up due to a blood pressure reading of 150/95 mm Hg during a preemployment examination.  He has had no symptoms, and his medical history is unremarkable.  The patient is an ex-smoker with a 10-pack-year history; he does not use alcohol or illicit drugs.  He has a family history of hypertension, and his father died of a stroke at age 68.  Blood pressure is 145/90 mm Hg (repeat: 144/92 mm Hg), and pulse is 75/min and regular.  BMI is 29 kg/m2.  Physical examination is unremarkable.  This patient should be screened for which of the following conditions?

complaining of excessive urination and constant hunger and thirst. She has no other complaints and no past medical history. Her family history is significant for hypertension, type 2 diabetes mellitus, and hyperlipidemia. She does not smoke but lives a sedentary lifestyle. On examination, she is afebrile with a blood pressure of 134/88 mmHg, heart rate of 84 beats per minute, and respiratory rate of 14 breaths per minute. The rest of her examination is normal. The patient is scheduled for a return visit to have fasting laboratory tests drawn. At her return visit, her blood pressure is 138/86 mmHg. Her fasting glucose is 156 mg/dL, and urine albumin-to-creatinine ratio is 200 mg/g. What is the next step in management for this patient?

A 49-year-old man presents for routine physical examination. The patient has no active complaints today other than occasional constipation and increased frequency of urination. The patient reports that he has a diagnosis of “pre-diabetes” given to him by his previous physician in another city. His family history is significant for hypertension. The patient denies alcohol or drug use and works as a long-distance truck driver. Physical examination is unremarkable except for a body mass index of 31 kg/m2. The patient's fasting laboratory values reveal the following.Hemoglobin A1c 7.9%Serum glucose 170 mg/dLTotal cholesterol 220 mg/dLLow-density lipoprotein (LDL) 145 mg/dLTriglycerides 130 mg/dLHigh-density lipoprotein 38 mg/dL Which of the following is the best next step in the management of this patient?Ask StudybuddyGroup of answer choicesSulfonylureaLifestyle modificationNiacin, fish oil, and lifestyle modificationAtorvastatin and lifestyle modification

A male patient at 75 years old is worrying about his hypertension and consulted his family doctor. His blood biochemistry results show:Analyte (SERUM)Result Day 1Result Day 3Reference intervalSodium125120135 – 145 mmol/LPotassium2.52.83.5 – 5.5 mmol/LChloride869095 – 110 mmol/LBicarbonate353222 – 32 mmol/LUrea7.07.23.0 – 8.0 mmol/LCreatinine908640 – 90 μmol/L* Urine sodium = 58 (<20 mmol/L in low sodium)In general, which medication may cause a decrease in serum potassium?Group of answer choicesPotassium-sparing diureticBeta-adrenergic blockerBeta-adrenergic agonistDigoxin