Ian, I do quite a bit of close-up work, mainly still-life, with my 4x5. I'm quite new to using camera movements. The thing I have noticed, however, is that the degree of tilt required for the sort of situation you describe is quite small. I started off thinking that if I needed tilt it would be something like 45 degrees. In practice, adjustments tend to be less dramatic. The difficulty I find is assessing depth of field once the lens is stopped down and the screen darkens accordingly. Using a torch to temporarily illuminate the subject can help. I am using a monorail camera which is superb for studio work, and something you should consider if that is your main area of interest. The drawback is the weight and bulk, making it difficult to use on location for landscapes. A field camera, like a Wista, Shen Hao or similar would be a far better choice for projects where you need to take the camera out and about. For controlled studio situations, however, a monorail offers great advantages. Another thing I've found to be very useful is the Prontor Professional shutter with its special twin cable release. This system allows you to open the lens fully for focusing, close it to working aperture to check depth of field and then close and fire the shutter, all from the cable release. I picked up a Rodenstock 150mm lens in this type of shutter, then sourced the special cable release. I couldn't believe how well it worked.
Anyway, I'm drifting off topic, but hope this is of some use to you.
Alex.