Question

A 28-year-old man presents with episodes of headache, sweating, and palpitations. BP is 170/110 mmHg. Urinary metanephrines are elevated. According to NICE, what is the first-line intervention to control his blood pressure?

Accepted Answer

Alpha-blocker (e.g. phenoxybenzamine)

Answer

Beta-blocker (e.g. propranolol) alone

Answer

Immediate adrenalectomy

Answer

ACE inhibitor (e.g. enalapril)

Answer

Calcium channel blocker (e.g. amlodipine)

Practice question

A 28-year-old man presents with episodes of headache, sweating, and palpitations. BP is 170/110 mmHg. Urinary metanephrines are elevated. According to NICE, what is the first-line intervention to control his blood pressure?