skip to main content

ACE inhibitor initiation — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

EasyCardiovascular TherapeuticsACE inhibitor initiationGPhC CRA

A 42-year-old woman with confirmed stage 1 hypertension has QRISK3 above 10%, normal renal function, NKDA and is not pregnant. What is the most appropriate alternative?

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

Reveal the answer and explanation

Correct answer: E — Start ramipril 2.5 mg once daily

An ACE inhibitor is a suitable first-line option for hypertension in an adult under 55 years when pregnancy is not a concern. This makes start ramipril 2.5 mg once daily the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: NICE CKS; BNF