NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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In stage 2 HTN, starting two first-line drugs is recommended when average SBP and DBP are?

  1. > 20/10 mmHg above goal

  2. > 15/10 mmHg above goal

  3. > 10/5 mmHg above goal

  4. > 5/5 mmHg above goal

The correct answer is: > 20/10 mmHg above goal

It is recommended to start two first-line drugs in stage 2 hypertension only when the average systolic blood pressure (SBP) is more than 20 mmHg above the goal and the average diastolic blood pressure (DBP) is more than 10 mmHg above the goal. The other options are incorrect because they do not meet the recommended level of elevated SBP and DBP in stage 2 hypertension. Option B only meets the requirement for SBP, but not DBP, while options C and D do not meet the requirement for either SBP or DBP. Therefore, option A is the correct answer.

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