This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Epistaxis, Subject name: ENT
A 70-year-old patient with epistaxis, on examination BP 200/100 mm Hg, no active nasal bleeding noted. Next step of management is: 
Select and explain. 
A. Observation with BP management, B. Internal maxillary artery ligation, C. Anterior and posterior nasal pack, D. Anterior nasal pack
A: Observation with BP management
Answer: A: Observation with BP management 
Explanation: (a) Observation with BP management(Ref. Cummings, 6th ed., 682)Since no active bleed at present so here the main management should aim at lowering of BP.