QuestionSBA
QuestionChoice
This is an example of a calcium channel blocker. The patient should be started on an ACE inhibitor or ARB as they have a diagnosis of diabetes.
10024496
b
Amlodipine
QuestionChoice
This is an example of a thiazide-like diuretic, which can be used as a second-line drug.
10024497
c
Indapamide
QuestionChoice
Whilst this may be appropriate to manage their diabetes, the question asks for a drug to manage their hypertension.
10024498
d
Metformin
QuestionChoice
This is an example of an angiotensin-converting enzyme (ACE) inhibitor and this patient is a diabetic with stage 1 hypertension. NICE guidelines state that under 80s with diabetes and stage 1 hypertension should be considered for drug treatment, and an ACE inhibitor or angiotensin-receptor blocker (ARB) is first-line for this due to the presence of type 2 diabetes.
10024495
a
Lisinopril
QuestionChoice
This can be used as a further management option if the patient also has low blood potassium level.
10024499
e
Spironolactone
Concept
Chapter
2693
3701
Hypertension
Topic
134
Cardiology
17297
A 57-year-old white male comes to the GP for a health check. Their blood pressure is measured at 150/95, and this is confirmed with ambulatory blood pressure monitoring. The patient has a past medical history of type 2 diabetes and eczema.

What drug would be a suitable first-line option for his hypertension?
a