QuestionSBA
QuestionChoice
This is a calcium channel blocker. This is first line in Afro-Caribbean patients or those who are >55. 
10004047
b
Amlodipine
QuestionChoice
This is an angiotensin-converting enzyme (ACE) inhibitor and is the first line according to NICE guidelines for patients who are < 55 or have type 2 diabetes mellitus.
10004046
a
Ramipril
QuestionChoice
This is an aldosterone antagonist and is prescribed in patients with treatment-resistant hypertension. Patients must have a serum K+ < 4.5 mmol/L as this is a potassium-sparing diuretic.
10004049
d
Spironolactone
QuestionChoice
This is a thiazide diuretic. This is used as an anti-hypertensive agent in patients where both angiotensin-converting enzyme inhibitor (ACEi)/angiotensin receptor blocker (ARB) and calcium channel blocker therapy fail to lower BP.
10004048
c
Indapamide
QuestionChoice
This is a beta-blocker which can be prescribed for physical sympathetic symptoms including those seen in anxiety. It is also indicated in treatment-resistant hypertension as an alternative to spironolactone if serum potassium is >4.5 mmol/L.
10004050
e
Propranolol
Concept
Chapter
2693
3701
Hypertension
Topic
134
Cardiology
13356
A 60-year-old Caucasian male with type one diabetes presents to his GP for a regular check-up. His recent average ambulatory blood pressure readings were 150/95mmHg. his only regular medication is insulin.

Which of the following is the next best step of management for this patient?
b