A 72-year-old man with long-standing hypertension presents with acute severe headache and BP 210/130 mmHg. Fundoscopy shows papilloedema. There is no ...

Question

A 72-year-old man with long-standing hypertension presents with acute severe headache and BP 210/130 mmHg. Fundoscopy shows papilloedema. There is no neurological deficit. What is the most appropriate management?

Accepted Answer

Refer for same-day hospital admission for urgent BP control

Answer

Start oral Amlodipine in primary care and review in 1 week

Answer

Reassure and review in 24 hours

Answer

Start ACE inhibitor and Thiazide at maximum doses in clinic

Answer

Give sublingual Nifedipine and discharge

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

A 72-year-old man with long-standing hypertension presents with acute severe headache and BP 210/130 mmHg. Fundoscopy shows papilloedema. There is no neurological deficit. What is the most appropriate management?