Hypertension — UKMLA MCQ

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EasyCardiology & Cardiovascular diseaseHypertensionUKMLA

A 54-year-old man presents with persistent primary hypertension (150/96 mmHg) despite lifestyle measures. He has no significant past medical history. According to NICE guidelines, what is the most appropriate first-line antihypertensive?

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Correct answer: E — Ramipril

For patients under 55 years of age without comorbidities or of Black African or African-Caribbean descent, an ACE inhibitor (e.g. ramipril) is the recommended first-line treatment. Amlodipine or a thiazide-like diuretic is preferred if the patient is over 55 or of African or Caribbean descent. Other options may be added as second- or third-line therapy if needed.

Reference: NICE Hypertension Guideline