American College of Physicians: Internal Medicine — Doctors for Adults ®

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The MKSAP Challenge

From the June ACP Observer, copyright 2004 by the American College of Physicians.

Clinical scenario

A 55-year-old woman was recently found to have mild hypertension; her blood pressure has ranged from 140-151/90-96 mm Hg. She would like to avoid taking medication and asks what else she can do to lower her blood pressure.

Which of the following lifestyle changes would most effectively lower this patient's blood pressure?

A. Biking vigorously for 30 minutes 3 days per week
B. Walking 1 mile 4 days per week
C. Sodium restriction to 6 g/d
D. Potassium supplementation of 10 meq/d
E. Calcium supplementation, 1000 mg/d

Answer

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