Define the threshold for stage 2 hypertension and its relevance to PT.

• A. Systolic ≥140 mmHg or diastolic ≥90 mmHg; may necessitate medical clearance and careful exertion.
• B. Systolic ≥120/80; not concerning.
• C. Diastolic ≥60; normal.
• D. Systolic ≥180; emergency.

Answer: (A)

Stage 2 hypertension is defined as blood pressure at or above 140 systolic or 90 diastolic. In physical therapy this level signals higher cardiovascular risk and often requires medical clearance before starting or advancing an exercise program, plus careful exertion under supervision. When working with someone at this level, begin with light-to-moderate activity, emphasize a gradual warm-up, and monitor blood pressure before, during, and after sessions. Avoid high-intensity or heavy resistance work that can sharply raise blood pressure, and stop exercise if BP rises significantly or if symptoms occur. This threshold helps you balance the therapeutic benefits of PT with safety and ensures coordination with the patient’s medical team.