During the Exam Be honest — do not exaggerate or minimize your symptoms Describe your worst days, not just how you feel right now If something hurts during a range-of-motion test, say so Mention all functional limitations: sleep, work, chores, driving, social activities Report flare-ups: how often, how long, how severe, and what triggers them Do not say "I'm fine" out of habit — describe your actual condition The VA takes multiple blood pressure readings during the exam Ratings are based on diastolic (bottom number) and systolic (top number) readings 10% requires diastolic predominantly 100+ or systolic predominantly 160+, or history of diastolic 100+ requiring continuous medication If hypertension is secondary to another condition (PTSD, sleep apnea, diabetes), explain the connection Mention any complications: heart disease, kidney problems, vision issues