Hormone replacement therapy

Hormone replacement therapy

Question 1

A 62-year-old woman, who has been coming to you for 3 years, has a recent onset of hypertension. She is still not at goal despite three antihypertensive medicines, and you strongly doubt nonadherence. Her father died of a heart attack at age 58. Today her pressure is 168/94 and pressure on the other arm is similar. What would you do next?

Add a fourth medicine

Refer to nephrology

Get a CT scan

Listen closely to her abdomen

Question 2

Mrs. Jaeger is a 67–year-old who went through menopause at age 55. She has now had some vaginal bleeding. Which of the following should be considered?

Endometrial cancer

Hormone replacement therapy

Uterine or cervical polyps

All of these