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NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 1/Question#33 (reveal difficulty score)
During examination prior to participation in ...
Repeat blood pressure measurement in 4 weeks ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: cardio

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 +7  upvote downvote
submitted by โˆ—buttercup(18)
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To diagnose hypertension, there must be a hypertensive emergency >180/120, evidence of hypertension related end organ disease if greater than 160/100, or measurements in the office showing bp of greater than 130/80 at least three times. The measurements must be spaced over a period of weeks to months.

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 +4  upvote downvote
submitted by hpsauce90(7)
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dx of htn in kids requires BP measurements at 3 different visits:

  • kids: โ‰ฅ 95 percentile

  • adolescents (โ‰ฅ 13y): โ‰ฅ 130/80

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 -3  upvote downvote
submitted by โˆ—step_prep5(246)
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  • Key idea: In a patient presenting with hypertension (particularly a child), you always should start with a trial of lifestyle interventions (playing sports in this patientโ€™s case) before thinking about using blood pressure medications

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