ca-mccqe1 MCQ (SBA): Essential hypertension

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A 48-year-old man with no past medical history is found to have persistent automated office blood pressure readings around 152/96 mm Hg despite 3 months of lifestyle optimisation (weight loss, reduced salt, exercise, limited alcohol). He has no diabetes, normal renal function and a calculated 10-year cardiovascular risk in the moderate range. According to Canadian hypertension guidance, which is the most appropriate initial pharmacologic treatment?

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ca-mccqe1 MCQ: Essential hypertension — Answer & Explanation | iatroX