Hypertensive urgency – nifedipine — RACP Paediatrics MCQ

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ModerateNephrologyHypertensive urgency – nifedipineRACP Paediatrics

A 12-year-old has BP 170/105 with headache but no papilloedema or encephalopathy. What is the initial treatment?

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Correct answer: E — Oral nifedipine

Hypertensive urgency (no end-organ damage): oral nifedipine for gradual BP reduction over 24-48 hours. NOT sublingual (unpredictable hypotension).

Reference: RCH Melbourne – 2024 – Hypertension CPG