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Which one of these statements about the management of patients with hypertension is false?
- If clinic BP is <160mmHg systolic and <110mmHg diastolic after five minutes sitting, blood pressure is not raised
- An individual's cardiovascular risk is assessed on pretreatment levels of risk factors including BP
- Age is the most significant driver of cardiovascular risk
- Anyone with evidence of vascular disease or diabetes is considered to be at high risk
One of these statements is false - which is it?
- NICE defines abnormal blood pressure as ≥135/≥85 mmHg as measured by ambulatory blood pressure monitoring (ABPM) or home blood pressure monitoring (HBPM)
- Although home blood pressure readings should ideally be taken on seven consecutive days, two days is usually sufficient for decision-making
- For HBPM, the average of two readings taken one minute apart should be used to determine blood pressure
- Drug treatment is recommended if ABPM or HBPM is ≥150 or ≥95mmHg, irrespective of risk
One of these statements is false - which?
- In black Africans and Caribbeans, a calcium-channel blocker (CCB) is recommended as first-line therapy
- For patients over 55 years (other than black Africans and Caribbeans), an ACE inhibitor or an angiotensin-II receptor blocker (ARB) is favoured as first-line therapy
- All antihypertensive drugs are more or less equally effective at lowering raised blood pressure
- If the combination of a CCB plus an ACE inhibitor (or ARB) is not sufficiently effective, indapamide or chlortalidone should be added
Which one of these statements is false?
- Blood pressure (as measured by ABPM/HBPM) should be reduced below the targets of <140 and <90mmHg (or <150 and <90mmHg if age over 80)
- If starting treatment with a diuretic, it is reasonable to initiate an ACE inhibitor or ARB at the same time
- The final choice of antihypertensive drug is often determined by the occurrence of adverse effects
- Patients taking hydrochlorothiazide should be switched to chlortalidone provided blood pressure control is good
Which one of these statements is false?
- The symptoms of phaeochromocytoma resemble those experienced in stressful situations but are spontaneous, persistent and more severe
- Patients with malignant phase hypertension often have a good initial response to antihypertensive drugs
- Patients with impaired renal function need lower-dose diuretics and loop diuretics
- Increasing exercise, in addition to drug therapy, is unlikely to achieve blood pressure control in most individuals with difficult-to-control blood pressure
One of these statements is false - which is it?
- A diuretic is the most effective choice if blood pressure needs to be reduced quickly, eg before surgery
- In patients with resistant hypertension despite treatment with three antihypertensive drugs, the recommended approach is to increase the diuretic dose while ensuring the renin-angiotensin system is adequately blocked
- Beta-blockers have an important role in patients with heart failure
- If minoxidil is indicated, it should be co-prescribed with furosemide at a dose of at least 40mg twice daily

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