Podcast - NICE on Hypertension: Can you pass the test?

The video version of this podcast can be found here:
• NICE on Hypertension: ...
This video makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by NICE.
My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode, I go through a thorough review of the NICE guideline [NG136] on Hypertension in adults, with a series of multiple-choice questions. Each question is paired with quotation, aiming to clarify key concepts and enhance understanding. This informative segment is created to support continuous learning always focusing on what is relevant in Primary Care only.
I am not giving medical advice; this video is intended for health care professionals; it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.
There is a podcast version of this and other videos that you can access here:
Primary Care guidelines podcast:
· Redcircle: redcircle.com/shows/primary-c...
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There is a RUclips version of this and other videos that you can access here:
The Practical GP RUclips Channel:
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The resources consulted can be found here:
Hypertension in adults: diagnosis and management - NICE guideline [NG136]:
· www.nice.org.uk/guidance/ng136
The NICE hypertension flowcharts can be found here:
· Website: www.nice.org.uk/guidance/ng13...
The Clinic BP targets tables can be downloaded here:
· 1drv.ms/b/s!AiVFJ_Uoigq0mFtrs...
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Transcript
If you are listening to this podcast on RUclips, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.
Hello and welcome, I’m Fernando, a GP in the UK. Today we are going to do a revision of the NICE guidelines on hypertension, including the changes introduced in November 2023, always focusing on what is relevant in Primary Care only.
I have created a number of multiple-choice questions, many of them presented as clinical scenarios, which will help you revise, test your knowledge and also assist you in remembering the facts more effectively.
The range of questions varies from fairly easy and straightforward ones to others which are more complex and require more thinking. After each question and their four options, you will get the correct answer paired with a guiding quotation from the NICE guideline.
Please note that the correct answers only reflect the strict use of the guideline, not a flexible clinical judgement.
Finally, I am going to delegate the reading of this section to an automated voice. I hope that you find it useful.
Good luck with your self-test!
Sarah, a 50-year-old woman with type 2 diabetes and hypertension, is starting step 1 antihypertensive treatment. What should be offered to her?
Calcium-channel blocker
Thiazide-like diuretic
ACE inhibitor or ARB
Beta-blocker
The correct answer is:
ACE inhibitor or ARB
NICE quote:
Offer an ACE inhibitor or an ARB to adults starting step 1 antihypertensive treatment who:
have type 2 diabetes and are of any age or family origin
What is recommended regarding lifestyle advice for people with suspected or diagnosed hypertension?
Offer magnesium, and potassium supplements.
Discourage excessive consumption of coffee and other caffeine-rich products.
Avoid physical activity.
Offer calcium supplements.
The correct answer is:
Discourage excessive consumption of coffee and other caffeine-rich products.
NICE quote:
Discourage excessive consumption of coffee and other caffeine-rich products.
Emma, a 54-year-old woman with hypertension, is taking an ACE inhibitor as step 1 treatment. Despite this, her blood pressure remain...