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Medicine General 3669a3bd

Management of uncomplicated essential hypeension is:

A
No need to treat
B
Diet modification and exercise
C
Diet modification, exercise & drugs
D
Drugs alone
High-Yield Explanation
Answer is C (Diet modification, exercise & drugs) Management of uncomplicated essential hypeension includes health promoting lifestyle modifications (includes dietry modification & exercise) and pharmacological therapy (drugs). Management of Uncomplicated Essential Hypeension Lifestyle modification Weight reduction Attain and maintain BMI <25 kg/m2 Dietary salt reduction <6 g NaCl/d Adapt DASH- Diet rich in fruits, vegetables, and low-fat type dietary plan dairy products with reduced content of saturated and total fat Moderation of For those who drink alcohol, consume 2 alcohol drinks/day in men and I drink/day in consumption women Physical activity Regular aerobic activity, e.g., brisk walking for 30 min/d Pharmacological Therapy In uncomplicated essential hypeension the treatment is staed with a low-dose thiazide (hydrochlorothiazide 12.5-25 mg per day), an ACE inhibitor or a beta-blocker. Calcium-channel blocker can be used as the first-line treatment if the systolic pressure is high. Angiotensin-II receptor antagonists should be considered when the adverse effects of ACE inhibitors or other drugs have proven problematic. If no response is achieved, or adverse effects emerge, a product of another drug group should be prescribed. Combination therapy is staed if desired blood pressure reduction is not achieved with monotherapy. The reasons behind poor response must be established.

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