WBR0993

Author	[[PageAuthor::Mohamed Moubarak, M.D. [1]]]
Exam Type	ExamType::USMLE Step 3
Main Category	MainCategory::Primary Care Office
Sub Category	SubCategory::Cardiovascular
Prompt	[[Prompt::A 56 year-old male comes to your office complaining of occasional light headedness, dizziness, drowsiness, and frequent falls upon getting up from a setting position. He is hypertensive with a history of coronary artery disease. His medications include daily Metoprolol and Nitrates. Which of the following blood pressure measuring is characteristic for orthostatic hypotension?]]
Answer A	AnswerA::A fall in systolic blood pressure of at least 20 mmHg within 2-5 minutes of standing
Answer A Explanation	[[AnswerAExp::Correct Orthostatic hypotension is defined as fall of at least 20 mmHg of systolic blood pressure, or fall of at least 10 mmHg of diastolic pressure within 2-5 minutes of standing from supine or sitting position.]]
Answer B	AnswerB::A fall in diastolic blood pressure of at least 5 mmHg within 2-5 minutes of standing
Answer B Explanation	[[AnswerBExp::Incorrect Orthostatic hypotension is defined as fall of at least 20 mmHg of systolic blood pressure, or fall of at least 10 mmHg of diastolic pressure within 2-5 minutes of standing from supine or sitting position.]]
Answer C	AnswerC::A fall in systolic blood pressure of at least 15 mmHg within 2-5 minutes of standing
Answer C Explanation	[[AnswerCExp::Incorrect Orthostatic hypotension is defined as fall of at least 20 mmHg of systolic blood pressure, or fall of at least 10 mmHg of diastolic pressure within 2-5 minutes of standing from supine or sitting position.]]
Answer D	AnswerD::A fall in diastolic blood pressure of at least 15 mmHg within 2-5 minutes of standing
Answer D Explanation	[[AnswerDExp::Incorrect Orthostatic hypotension is defined as fall of at least 20 mmHg of systolic blood pressure, or fall of at least 10 mmHg of diastolic pressure within 2-5 minutes of standing from supine or sitting position.]]
Answer E	AnswerE::A fall in diastolic blood pressure of at least 20 mmHg within 2-5 minutes of standing
Answer E Explanation	[[AnswerEExp::Orthostatic hypotension is defined as a significant drop in blood pressure upon standing. It is diagnosed if there is fall of at least 20 mmHg of systolic blood pressure, or fall of at least 10 mmHg of diastolic pressure within 2-5 minutes of standing from supine or sitting position.]]
Right Answer	RightAnswer::A
Explanation	[[Explanation::Orthostatic hypotension is defined as a significant drop in blood pressure upon standing. It is diagnosed if there is fall of at least 20 mmHg of systolic blood pressure, or fall of at least 10 mmHg of diastolic pressure within 2-5 minutes of standing from supine or sitting position. Educational Objective: References: ]]
Approved	Approved::No
Keyword	[[WBRKeyword::Orthostatic hypotension]]
Linked Question	Linked::
Order in Linked Questions	LinkedOrder::