A 60-year-old man with hypertension is reviewed. His blood pressure is 150/95 mmHg despite taking Ramipril 10mg OD and Amlodipine 10mg OD. He is of Bl...

Question

A 60-year-old man with hypertension is reviewed. His blood pressure is 150/95 mmHg despite taking Ramipril 10mg OD and Amlodipine 10mg OD. He is of Black African descent. What is the most appropriate next step in management?

Accepted Answer

Add a thiazide-like diuretic (e.g., Indapamide)

Answer

Increase Ramipril to 20mg OD

Answer

Add Doxazosin 4mg OD

Answer

Add Spironolactone 25mg OD

Answer

Add Bisoprolol 5mg OD

ukmla MCQ (SBA): Hypertension Management

A 60-year-old man with hypertension is reviewed. His blood pressure is 150/95 mmHg despite taking Ramipril 10mg OD and Amlodipine 10mg OD. He is of Black African descent. What is the most appropriate next step in management?