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Hypertension first-line ethnicity — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsHypertension first-line ethnicityGPhC CRA

A 48-year-old Black African man has hypertension confirmed by ambulatory monitoring. He has no diabetes, heart failure or chronic kidney disease. What is the most appropriate alternative?

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

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

UK hypertension guidance favours calcium-channel blocker first-line in this group unless comorbidities alter choice. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.

Reference: https://www.pharmacyregulation.org/registration-assessment#stage-8-order-24