A 62-year-old man attends his GP for a routine blood pressure check. Average clinic readings over 3 separate visits are 158/96 mmHg. Ambulatory blood ...

Question

A 62-year-old man attends his GP for a routine blood pressure check. Average clinic readings over 3 separate visits are 158/96 mmHg. Ambulatory blood pressure monitoring confirms a daytime average of 148/92 mmHg. He has no end-organ damage and no diabetes. What is the most appropriate initial management?

Accepted Answer

Start a calcium-channel blocker such as Amlodipine

Answer

Lifestyle advice only with no drug treatment

Answer

Start a thiazide-like diuretic as first-line

Answer

Start a beta-blocker as first-line

Answer

Start dual therapy with ACE inhibitor and calcium-channel blocker immediately

uk-plab-1 MCQ (SBA): Primary hypertension initial therapy