A 50-year-old man attends his GP with a blood pressure of 230/120 mmHg. Fundoscopy shows bilateral papilloedema but he has no chest pain or focal neur...

Question

A 50-year-old man attends his GP with a blood pressure of 230/120 mmHg. Fundoscopy shows bilateral papilloedema but he has no chest pain or focal neurology. What is the most appropriate management?

Accepted Answer

Arrange same-day emergency admission for intravenous blood pressure control

Answer

Start amlodipine in primary care and review in 1 month

Answer

Start bendroflumethiazide and review in 1 week

Answer

No treatment is required unless symptoms develop

Answer

Start low-dose ramipril and arrange routine outpatient review

uk-plab-1 MCQ (SBA): Hypertensive emergency

A 50-year-old man attends his GP with a blood pressure of 230/120 mmHg. Fundoscopy shows bilateral papilloedema but he has no chest pain or focal neurology. What is the most appropriate management?