Anti-hypertensives

Question 1

What is first-line for hypertension in a patient under 55?

Answer 1

ACE inhibitor or ARB

Question 2

What is first line for hypertension in a diabetic patient?

Answer 2

ACE inhibitor or ARB

Question 3

What is first line for hypertension in a patient aged >55?

Answer 3

Calcium channel blocker

Question 4

What is first line for hypertension in a black patient?

Answer 4

Calcium channel blocker

Question 5

What is second line for hypertension in a patient under 55 or diabetic?

Answer 5

Calcium channel blocker

Question 6

What is second line for hypertension in a patient over 55 or black?

Answer 6

ACE inhibitor or ARB (ARB preferred in Black people)

Question 7

What is third line for hypertension?

Answer 7

Thiazide like diuretic e.g. indapamide

Question 8

What is 4th line for hypertension if the potassium is <4.5?

Answer 8

Spironolactone

Question 9

What is 4th line for hypertension if the potassium is >4.5?

Answer 9

Alpha or beta blocker

Question 10

What is used to treat hypertension in pregnancy?

Answer 10

Labetalol or nifedipine if not suitable

Question 11

What is used as a third option to treat hypertension in pregnancy?

Answer 11

Methyldopa

Question 12

What anti-hypertensives must be avoided in pregnancy?

Answer 12

ACE inhibitors and ARBS (teratogenic)

Question 13

What medication must hypertensive pregnant women be put on from 12 weeks gestation?

Answer 13

Aspirin to reduce the risk of pre-eclampsia