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Hypertension — UKMLA MCQ

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EasyCardiology & Cardiovascular diseaseHypertensionUKMLA

An asymptomatic 58-year-old man presents with a blood pressure of 158/94 mmHg measured on multiple occasions. According to NICE guidelines, what is the recommended initial antihypertensive in a patient of this age with no other comorbidities?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Calcium channel blocker (e.g. Amlodipine)

In patients over 55 years or Black patients of any age, a calcium channel blocker is recommended first-line unless there are compelling indications for another agent. ACE inhibitors are first-line in younger patients.

Reference: NICE Hypertension Guideline