QuestionSBA
QuestionChoice
Lying and standing blood pressure is a useful investigation when orthostatic hypotension is suspected.
10028025
e
Lying and standing blood pressure
QuestionChoice
An ECG is typically performed to assess the electrical activity and function of the heart. It is not involved in the treatment of hypertension.
10028024
d
Do an ECG
QuestionChoice
This patient has high blood pressure and a background of type 2 diabetes and, therefore, should be initiated on an ACE inhibitor such as Rampiril.
10028021
a
Start Ramipril
QuestionChoice
Amlodipine is a calcium channel blocker used to lower blood pressure. It is the first-line treatment in patients with hypertension without type 2 diabetes if they are >55 years old or of black African or African-Caribbean family origin. It is not the first-line treatment for a patient with type 2 diabetes.
10028022
b
Start amlodipine
QuestionChoice
Spironolactone is a potassium-sparing diuretic that can be used in the management of hypertension, but it is not typically used as first-line therapy.
10028023
c
Start spironolactone
Concept
Chapter
2693
3701
Hypertension
Topic
134
Cardiology
18002
A 44-year-old man with type 2 diabetes attends his GP with his ambulatory blood pressure monitoring (ABPM) results.

His average blood pressure result is 152/78 mmHg.

What is the next best step in the management of this patient?
a