ABIM IM Practice Test 1

A 46-year-old woman is seen for a follow-up visit after an elevated blood pressure reading at a workplace health fair. She has no symptoms, takes no medications, and does not smoke. She exercises 3 days each week and drinks 2 glasses of wine weekly. Her father has hypertension. She says she always feels anxious in medical offices. At two office visits 1 month apart, the averages of two properly measured seated readings with an appropriately sized cuff were 146/92 mm Hg and 144/90 mm Hg. Today, blood pressure is 148/94 mm Hg, pulse rate is 78/min, and BMI is 24. Physical examination, including fundoscopy and cardiac examination, is normal. Serum electrolytes, creatinine, fasting glucose and lipid levels, urinalysis and a 12-lead ECG are normal. She has never measured her blood pressure outside a medical setting. Which of the following is the most appropriate next step in management?