A 54-year-old man attends his GP for a routine blood pressure check. His clinic blood pressure is 152/94 mmHg on two occasions several weeks apart. He...

Question

A 54-year-old man attends his GP for a routine blood pressure check. His clinic blood pressure is 152/94 mmHg on two occasions several weeks apart. He has no target organ damage and no significant past medical history. What is the most appropriate next step to confirm a diagnosis of hypertension?

Accepted Answer

Arrange ambulatory blood pressure monitoring over 24 hours

Answer

Start an ACE inhibitor immediately without further investigation

Answer

Arrange home blood pressure monitoring for 1 day

Answer

Order an echocardiogram to look for left ventricular hypertrophy

Answer

Repeat a clinic blood pressure in 12 months

uk-plab-1 MCQ (SBA): Hypertension – diagnosis

A 54-year-old man attends his GP for a routine blood pressure check. His clinic blood pressure is 152/94 mmHg on two occasions several weeks apart. He has no target organ damage and no significant past medical history. What is the most appropriate next step to confirm a diagnosis of hypertension?