QuestionSBA
QuestionChoice
Indapamide is a thiazide-like diuretic which can be added as a third step when step 2 has failed to control blood pressure or was not tolerated. This is therefore not the correct answer.
10008181
b
Indapamide
QuestionChoice
Doxazosin is an alpha blocker that can be used as the fourth step in the management of hypertension. This is therefore not the correct answer.
10008184
e
Doxazosin
QuestionChoice
Spironolactone can be used as the fourth step in the management of hypertension in someone with a serum potassium < 4.5 mmol/L. This is therefore not the correct answer.
10008183
d
Spironolactone
QuestionChoice
This would be the right choice for this patient. According to NICE, step 2 for hypertension management in people over 65 is the addition of an ACE inhibitor (i.e. ramipril) or an angiotensin receptor blocker in addition to a calcium channel blocker.
10008180
a
Ramipril
QuestionChoice
Atenolol is a beta-blocker that can be used as step 4 as part of the management of hypertension. This is therefore not the correct answer.
10008182
c
Atenolol
Concept
Chapter
2693
3701
Hypertension
Topic
134
Cardiology
14183
A 65-year man with a history of hypertension visits his GP for a routine blood pressure check. This reveals a blood pressure of 155/99 mmHg. He is currently on amlodipine for control of his blood pressure but the GP would like to introduce another medication.

Which of the following medications should be added next?
a