<prompt> A 70 year aged patient with epistaxis,patient is hypeension with BP200100 mm Hg. On examination no active bleeding noted, next step of management is:observationInternal maxillary aery ligationAnterior and posterior nasal packAnterior nasal pack  <response>: We do not need any reference to answer this paicular question as the answer is hiddeb in the question only. The question itself says that no active bleeding is seen-so no need to do anything just observe the patient and because his BP is 200100 Hg which is quite high,give him antihypeensive drugs. Ref.Scott Brown 7e,Vol 1,p 1065 