A 58-year-old woman has persistent blood pressure readings around 160/102 mmHg confirmed over several weeks. No target-organ damage and QRISK3 is 8%. ...

Question

A 58-year-old woman has persistent blood pressure readings around 160/102 mmHg confirmed over several weeks. No target-organ damage and QRISK3 is 8%. What is the correct management approach?

Accepted Answer

Start an ACE inhibitor (if non-Black ethnicity) and offer lifestyle advice

Answer

Lifestyle measures only and review in 6 months

Answer

Start a thiazide-like diuretic as monotherapy

Answer

Start an alpha-blocker

Answer

Refer urgently to secondary care

ukmla MCQ (SBA): Primary hypertension

A 58-year-old woman has persistent blood pressure readings around 160/102 mmHg confirmed over several weeks. No target-organ damage and QRISK3 is 8%. What is the correct management approach?