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Hypertension first line in Black African adults — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsHypertension first line in Black African adultsGPhC CRA

A 52-year-old man of Black African family origin has newly confirmed stage 2 hypertension, eGFR 82 and potassium 4.4 mmol/L. He has NKDA and takes 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: A — Amlodipine 5 mg once daily

This scenario assesses Hypertension first line in Black African adults in a UK pharmacy practice context. NICE hypertension guidance favours a calcium-channel blocker first line in adults of Black African or African-Caribbean family origin without diabetes. The best answer is Amlodipine 5 mg once daily because it addresses the principal clinical, legal or safety issue before routine supply. The other options are less appropriate because they either miss the key risk, delay necessary review, or would not meet expected BNF, NICE, MEP, MHRA or GPhC practice standards.

Reference: NICE CKS; BNF