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Severe hypertension symptoms — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsSevere hypertension symptomsGPhC CRA

A 63-year-old asks for advice after a home blood pressure reading of 212/116 mmHg with new blurred vision and headache. They take amlodipine 5 mg daily. What is the most appropriate action?

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

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Correct answer: E — Arrange same-day urgent medical assessment

Severely raised blood pressure with symptoms suggesting target-organ involvement requires urgent assessment rather than routine medicine adjustment. In this vignette, "Arrange same-day urgent medical assessment" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS