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Hypertension first-line treatment — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsHypertension first-line treatmentGPhC CRA

A 62-year-old patient with newly diagnosed hypertension has no diabetes, heart failure or CKD. The GP asks which first-line medicine is most appropriate. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — A calcium-channel blocker such as amlodipine

For many adults aged 55 years or over without specific compelling indications, a calcium-channel blocker is a usual first-line option. Medicine choice should also consider comorbidities, tolerability and patient factors. The other options are not typical first-line choices in this scenario.

Reference: NICE CKS