Medical Emergencies · single question

A blood pressure reading of 146/90 mmHg — what hypertension category does this represent?

  1. Stage 2 Hypertension
  2. Elevated BP (Prehypertension)
  3. Stage 1 Hypertension
  4. Hypertensive Crisis
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Correct answer: A. Stage 2 Hypertension

✓ A) Stage 2 Hypertension is correct.
Per ACC/AHA 2017 guidelines: Normal = <120/<80; Elevated = 120–129/<80; Stage 1 HTN = 130–139 or 80–89; Stage 2 HTN = ≥140 or ≥90. At 146/90, this patient has Stage 2 Hypertension. Dental implications: elective procedures should be performed cautiously; consider limiting epinephrine, using stress reduction protocols, and referring for medical management before elective procedures.

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