A 55-year-old patient presents with a blood pressure of 220/130 mmHg, severe headache, and acute vision changes. Funduscopic exam reveals papilledema. Which medication is most appropriate for initial rapid blood pressure reduction?

✓ Correct Answer: Option B

This patient has a hypertensive emergency with end-organ damage (papilledema). Intravenous agents like labetalol, nicardipine, or fenoldopam are required for controlled, rapid reduction of blood pressure. Oral agents are too slow.