QuestionSBA
QuestionChoice
Spironolactone is an aldosterone antagonist and can be added as a 4th-line agent for hypertension management, along with an ACE inhibitor or Angiotensin II receptor blocker, a calcium channel blocker and a thiazide-like diuretic. This can only be done if the blood potassium is ≤4.5mmol/L as spironolactone is a potassium-sparing agent. For the patient in this question, the first-line antihypertensive is a calcium channel blocker such as amlodipine.
10003910
e
Spironolactone
QuestionChoice
Candesartan is an Angiotensin II Receptor Blocker (ARB) and is only used as a first-line antihypertensive treatment (along with ACE inhibitors, but not together) in patients with Type 2 diabetes, or those who are under 55 and not from a Black African or African-Carribean family origin. For the patient in this question, the first line antihypertensive is a calcium channel blocker such as amlodipine.
10003908
c
Candesartan
QuestionChoice
Indapamide is a thiazide-like diuretic and can be used second or third-line in hypertension management. It can be added to an ACE inhibitor or Angiotensin II receptor blocker, or a calcium channel blocker as second-line management. For third-line management, it is used in conjunction with either an ACE inhibitor or Angiotensin II receptor blocker, as well as a calcium channel blocker. For the patient in this question, the first-line antihypertensive is a calcium channel blocker such as amlodipine.
10003909
d
Indapamide
QuestionChoice
Lisinopril is an ACE inhibitor and is only used as a first-line antihypertensive treatment (along with Angiotensin II receptor blockers, but not together) in patients with type 2 diabetes or those who are under 55 and not from a Black African or African-Carribean family origin. For the patient in this question, the first-line antihypertensive is a calcium channel blocker such as amlodipine.
10003907
b
Lisinopril
QuestionChoice
Amlodipine is a calcium-channel blocker, and this class of medications is used first-line for hypertension in patients aged over 55, or from a Black African or African-Carribean family origin (provided they do not have Type 2 diabetes). ACE inhibitors, angiotensin II receptor blockers or thiazide-like diuretics can be added to the calcium-channel blocker as second-line management.
10003906
a
Amlodipine
Concept
Chapter
2693
4215
ACE inhibitors
Topic
169
Cardiovascular pharmacology
13328
A 60-year-old male attends his GP and is found to have stage 2 hypertension. He does not have diabetes.

Which of the following is the first-line anti-hypertensive medication for this patient?
a