Hypertension medication review
FSP/KP pack: medication review and patient-friendly explanation
Theory
Theory 1: Station focus
Hypertension review tests medication history, adherence, target-organ symptoms and safe follow-up.
- Current BP and repeat measurement.
- Adherence, side effects and OTC medicines.
- Headache, chest pain, dyspnoea, neurological symptoms.
Theory 2: Reasoning path
Differentiate uncontrolled chronic hypertension from hypertensive emergency.
- Identify the immediate risk.
- Choose the safest first action.
- Explain why the distractors are weaker.
Theory 3: Expected output
The candidate should confirm readings, screen for emergency symptoms and explain a safe medication review.
- Repeat BP correctly.
- Check red flags.
- Review medication and lifestyle plan.
Vocabulary and model dialogue
Doctor: Can you show me your home readings and tell me how often you miss tablets?
Patient: I forget them two or three times a week.
Doctor: We will repeat the measurement and check for warning symptoms before adjusting the plan.
Practice
Practice 1: Stem analysis
A patient attends with repeated home BP readings around 170/100 and missed medication doses.
Output: Age, timing, symptoms, vital risk and one missing question.Practice 2: First action
Choose the first safe action: Repeat BP correctly and screen for hypertensive emergency symptoms.
Output: One action plus clinical reason.Practice 3: Differential
Compare Uncontrolled hypertension without emergency features with two alternatives.
Output: Three-line differential table.Practice 4: Exam response
Create a medication-review checklist and patient-friendly explanation.
Output: Checklist + 5 patient sentences.Interactive tasks
Interactive 1: Red-flag sort
Sort findings from "Hypertension medication review" into urgent and non-urgent details.
Interactive 2: Distractor removal
Remove the least plausible option from: Immediate discharge without review, Start thrombolysis, Ignore missed doses.
Interactive 3: Timed response
Give a 90-second exam answer using the station output steps.
Quiz
The case suggests uncontrolled hypertension; emergency signs still must be screened first.
The safest answer addresses the immediate clinical risk first.
Exam documentation must record the detail that changes management.
Safe exams include patient understanding and escalation advice.
The station expects a short, defensible clinical chain.