QuestionSBA
QuestionChoice
This is incorrect as Thiazide-like diuretics are reserved for second and/or third-line treatment in the management of Hypertension.
10002504
d
Bendroflumethiazide 2.5mg once daily
QuestionChoice
This is incorrect as this patient is from an afro-caribbean background and does not have type 2 diabetes mellitus, therefore under NICE guidelines for hypertension would not be suitable for an ACE inhibitor.
10002503
c
Ramipril 2.5mg once daily
QuestionChoice
This is incorrect as Angiotensin receptor blockers (ARBs), such as Candesartan are used for second and/or third-line management of hypertension in patients from Afro-Caribbean backgrounds who do not have Type 2 diabetes mellitus.
10002505
e
Candesartan 8mg once daily
QuestionChoice
As the patient is of Afro-Caribbean origin and does not have Type 2 diabetes mellitus, a calcium-channel blocker such as amlodipine is the correct drug to prescribe as first-line management in this case.
10002501
a
Amlodipine 5mg once daily
QuestionChoice
Whilst a calcium-channel blocker, such as amlodipine is appropriate first-line management for this patient, NICE guidelines recommend an initial dose of 5mg once daily for hypertension, which can be increased up to 10mg if necessary.
10002502
b
Amlodipine 10mg once daily
Concept
Chapter
2693
3701
Hypertension
Topic
134
Cardiology
13047
A 40-year-old Black Male has just been diagnosed with hypertension after having a clinic blood pressure of 163/102 mmHg and later confirmed via Ambulatory Blood Pressure Measurements (APBM).

What is appropriate first-line management?
a