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Hypertension first-line therapy — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsHypertension first-line therapyGPhC CRA

A 45-year-old man of Black African family origin has newly diagnosed hypertension with daytime ABPM 160/100 mmHg, normal U&Es and no regular medicines. What is the most appropriate alternative?

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

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Correct answer: C — Start amlodipine 5 mg once daily

A calcium-channel blocker is the preferred first-line option in this patient group when there is no compelling indication for another class. This makes start amlodipine 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