08-19-2014, 06:02 PM
29.
A 46-year-old African American computer programmer comes to the office for a follow-up visit. He has had high blood pressure for the past 6 months. Results of routine blood tests and physical examinations have been normal. His blood pressure has not responded to a low-sodium diet and other lifestyle modifications, and you are contemplating initiating pharmacotherapy. At today's visit the patient shows you information he obtained from the Internet about the use of calcium supplementation to control blood pressure. Regarding this information it is most appropriate to tell him which of the following?
A) The benefits are offset by the risk for kidney stone formation
B) Most of the benefits have been seen in patients with stage IV hypertension
C) Their efficacy is largely unproven in randomized trials
D) They are more effective when taken with vitamin D
E) They are most effective in patients with lactase deficiency
A 46-year-old African American computer programmer comes to the office for a follow-up visit. He has had high blood pressure for the past 6 months. Results of routine blood tests and physical examinations have been normal. His blood pressure has not responded to a low-sodium diet and other lifestyle modifications, and you are contemplating initiating pharmacotherapy. At today's visit the patient shows you information he obtained from the Internet about the use of calcium supplementation to control blood pressure. Regarding this information it is most appropriate to tell him which of the following?
A) The benefits are offset by the risk for kidney stone formation
B) Most of the benefits have been seen in patients with stage IV hypertension
C) Their efficacy is largely unproven in randomized trials
D) They are more effective when taken with vitamin D
E) They are most effective in patients with lactase deficiency