QuestionSBA
QuestionChoice
Amlodipine is a calcium channel blocker used in the treatment of hypertension. As per the NICE guidelines, it is the first-line treatment for those aged 55 and over, and people of Afro-Caribbean descent. As this patient is Caucasian and under 55 years old, an angiotensin-converting enzyme inhibitor (ACEi) is a more appropriate first-line option.
10007078
c
Amlodipine
QuestionChoice
Montelukast is a leukotriene receptor antagonist (LTRA) that is used to treat asthma. It is not suitable for the treatment of hypertension.
10007080
e
Montelukast
QuestionChoice
Metoprolol is a beta-blocker that can be used to treat hypertension and angina. However, it is not the best choice for this patient because it can worsen asthma symptoms. Even without a past medical history of asthma, is it not recommended in the NICE guidelines as a first-line treatment option.
10007077
b
Metoprolol
QuestionChoice
Hydrocortisone is a corticosteroid medication. It is not used in the management of hypertension, and can in fact increase blood pressure.
10007079
d
Hydrocortisone
QuestionChoice
Lisinopril is an angiotensin-converting enzyme inhibitor (ACEi). As per the NICE guidelines, it is the first-line treatment option for Caucasian patients who are aged under 55. It is particularly useful in this patient population because it can help control both hypertension and asthma by decreasing inflammation in the airways.
10007076
a
Lisinopril
Concept
Chapter
2693
3701
Hypertension
Topic
134
Cardiology
13962
A 41-year-old Caucasian female presents to the GP surgery with recurrent headaches. After a high clinic blood pressure reading, she is referred for ambulatory blood pressure monitoring. This confirms stage 2 hypertension.

She is otherwise fit and well, with no past medical history other than asthma. She uses a salbutamol inhaler as needed but has no other prescribed medications.

Which of the following drugs would be the most appropriate initial treatment for this patient?
a