Question

A 48-year-old woman attends general practice with a blood pressure of 220/125 mmHg. She has a frontal headache and blurred vision. Fundoscopy shows bilateral papilloedema and flame-shaped haemorrhages. She is otherwise alert and oriented. Which is the most appropriate next step in management?

Accepted Answer

Arrange urgent same-day transfer to the emergency department for intravenous blood pressure control

Answer

Start oral perindopril and review her in 1 week

Answer

Begin combined oral antihypertensive therapy and review in 24 hours as an outpatient

Answer

Reassure her and repeat blood pressure in 3 months

Answer

Start aspirin 100 mg daily only

Practice question

A 48-year-old woman attends general practice with a blood pressure of 220/125 mmHg. She has a frontal headache and blurred vision. Fundoscopy shows bilateral papilloedema and flame-shaped haemorrhages. She is otherwise alert and oriented. Which is the most appropriate next step in management?