Question

A 48-year-old with long-standing uncontrolled HTN presents without acute end-organ damage (no chest pain, neuro deficits, pulmonary edema). BP 192/108 mmHg. Best management?

Accepted Answer

Outpatient oral therapy adjustment with close follow-up; avoid rapid IV BP lowering

Answer

Immediate IV nitroprusside and ICU admission

Answer

No treatment needed today

Answer

Start high-dose beta-blocker and clonidine together acutely

Answer

Send home without follow-up

Practice question

A 48-year-old with long-standing uncontrolled HTN presents without acute end-organ damage (no chest pain, neuro deficits, pulmonary edema). BP 192/108 mmHg. Best management?