, I-Human Case: 57 years old ,reason for
encounter high blood pressure Anselmo
LopezQuestions And Correct Answers
(Verified Answers) Plus Rationales 2026/2027
Q&A | Instant Download Pdf
I-Human Case: Anselmo Lopez – Hypertension Practice Exam
(Questions 1–50)
Patient Profile:
• Name: Anselmo Lopez
• Age: 57 years
• Reason for Encounter: High blood pressure
• Relevant Risk Factors: Age >55, possibly male sex, lifestyle
factors (to be assumed for case-based reasoning)
Questions 1–50
1. What is the first-line diagnostic test to confirm hypertension?
Answer: Measurement of blood pressure on two separate
occasions
Rationale: Hypertension diagnosis requires elevated BP
readings on at least two different days, following proper
measurement techniques.
2. Which lifestyle modification is most effective for lowering
blood pressure?
Answer: Weight reduction in overweight patients
, Rationale: Weight loss has the greatest impact on lowering
both systolic and diastolic BP.
3. What is the target blood pressure for a 57-year-old patient with
hypertension and no comorbidities?
Answer: <130/80 mmHg
Rationale: Current guidelines recommend <130/80 mmHg for
most adults to reduce cardiovascular risk.
4. Which class of medication is recommended first-line for most
patients with primary hypertension?
Answer: Thiazide diuretics
Rationale: Thiazide diuretics reduce BP effectively and have
proven mortality benefit.
5. Which condition is a major risk factor for secondary
hypertension?
Answer: Chronic kidney disease
Rationale: CKD can cause secondary hypertension via
impaired sodium and water regulation.
6. What lab test is routinely ordered to evaluate target organ
damage in hypertension?
Answer: Serum creatinine and estimated GFR
Rationale: Assessing kidney function helps detect hypertensive
nephropathy.
7. Which of the following symptoms is most suggestive of
hypertensive emergency?
Answer: Severe headache with blurred vision and confusion
Rationale: Signs of acute end-organ damage (brain, heart,
kidney) indicate hypertensive emergency.
8. Which organ is most commonly affected by long-standing
hypertension?
Answer: Heart
encounter high blood pressure Anselmo
LopezQuestions And Correct Answers
(Verified Answers) Plus Rationales 2026/2027
Q&A | Instant Download Pdf
I-Human Case: Anselmo Lopez – Hypertension Practice Exam
(Questions 1–50)
Patient Profile:
• Name: Anselmo Lopez
• Age: 57 years
• Reason for Encounter: High blood pressure
• Relevant Risk Factors: Age >55, possibly male sex, lifestyle
factors (to be assumed for case-based reasoning)
Questions 1–50
1. What is the first-line diagnostic test to confirm hypertension?
Answer: Measurement of blood pressure on two separate
occasions
Rationale: Hypertension diagnosis requires elevated BP
readings on at least two different days, following proper
measurement techniques.
2. Which lifestyle modification is most effective for lowering
blood pressure?
Answer: Weight reduction in overweight patients
, Rationale: Weight loss has the greatest impact on lowering
both systolic and diastolic BP.
3. What is the target blood pressure for a 57-year-old patient with
hypertension and no comorbidities?
Answer: <130/80 mmHg
Rationale: Current guidelines recommend <130/80 mmHg for
most adults to reduce cardiovascular risk.
4. Which class of medication is recommended first-line for most
patients with primary hypertension?
Answer: Thiazide diuretics
Rationale: Thiazide diuretics reduce BP effectively and have
proven mortality benefit.
5. Which condition is a major risk factor for secondary
hypertension?
Answer: Chronic kidney disease
Rationale: CKD can cause secondary hypertension via
impaired sodium and water regulation.
6. What lab test is routinely ordered to evaluate target organ
damage in hypertension?
Answer: Serum creatinine and estimated GFR
Rationale: Assessing kidney function helps detect hypertensive
nephropathy.
7. Which of the following symptoms is most suggestive of
hypertensive emergency?
Answer: Severe headache with blurred vision and confusion
Rationale: Signs of acute end-organ damage (brain, heart,
kidney) indicate hypertensive emergency.
8. Which organ is most commonly affected by long-standing
hypertension?
Answer: Heart
