<prompt> A 70-year-old patient with epistaxis, on examination BP 200100 mm Hg, no active nasal bleeding noted. Next step of management is:Observation with BP managementInternal maxillary artery ligationAnterior and posterior nasal packAnterior nasal pack  <response>: a Observation with BP managementRef. Cummings, 6th ed., 682Since no active bleed at present so here the main management should aim at lowering of BP. 