Long-standing Uncontrolled Hypertension To in Medicine / Internal Medicine — 62yo Man | Neurology | SMLE Q#18185
SMLE Question #18185
Medicine / Internal Medicine
Neurology
Objective: OBJ-NEURO-ICH-BP
Last updated: February 2026
A 62-year-old man with long-standing uncontrolled hypertension presents to the emergency department with sudden severe headache and confusion for 1 hour. He is not taking antihypertensive medications. He is somnolent but arousable, and neurologic examination shows no focal motor deficit. Non-contrast CT of the brain shows a deep basal ganglia intracerebral hemorrhage without intraventricular extension. During acute blood pressure management, what systolic blood pressure target is most appropriate?
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