A 55-year-old man is seen in a family medicine clinic for persistently elevated office blood pressures over 3 months, averaging 160/96 mm Hg despite l...

Question

A 55-year-old man is seen in a family medicine clinic for persistently elevated office blood pressures over 3 months, averaging 160/96 mm Hg despite lifestyle modification. He has no diabetes, kidney disease or cardiovascular disease. Which is the most appropriate initial pharmacologic therapy according to current Canadian guidance?

Accepted Answer

Start chlorthalidone 12.5 mg daily

Answer

Start ramipril 2.5 mg daily

Answer

Start bisoprolol 5 mg daily

Answer

Start clonidine 0.1 mg twice daily

Answer

Delay pharmacotherapy and continue lifestyle modification only

ca-mccqe1 MCQ (SBA): Uncomplicated primary hypertension