If an individual's blood pressure is greater than 140/90 but less than 160/100 during a one-year follow-up, what can be issued?

In this scenario, when an individual's blood pressure is recorded between 140/90 and 160/100 during a one-year follow-up, the appropriate action is to issue a one-time three-month card. This option allows for closer monitoring of the individual's health status while recognizing that their blood pressure is elevated but not substantially beyond acceptable limits.

The rationale for issuing a three-month card is to give the individual time to potentially lower their blood pressure through lifestyle modifications or medical interventions without granting a longer-term certification, which would be inappropriate given their borderline hypertensive status. This measure serves both the safety of the driver and the public, ensuring that further assessments can be conducted in a timely manner.

Other options such as issuing a six-month card, annual certification, or giving no certification do not align with the recommended practice for managing borderline hypertension, where immediate follow-up is necessary to ensure the individual's condition does not worsen and remains within acceptable limits for safety on the road.