A 40-year-old man with type 1 diabetes mellitus for 10 years was recently found to have a blood pressure of 160/85 mmHg and microalbuminuria, Renal function test was otherwise normal. There is evidence of left ventricular hypertrophy on the ECG and echocardiography. Which of the following is the most appropriate pharmacologic treatment for this case of hypertension?
سؤال مجاني 5 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. ACE inhibitor
A diabetic with hypertension and microalbuminuria needs an ACE inhibitor (or ARB) to protect the kidneys; ACEi also helps reverse LVH. Beta-blockers, CCBs, thiazides and central agents lower BP but lack this renoprotective benefit.
ليش كل خيار صح أو غلط
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A
ليش صح
In diabetes with proteinuria, ACE inhibitors or ARBs are recommended to protect the kidneys; this patient has microalbuminuria.
✓ CARDIOLOGY-HTN.pdf · p. 9 -
B
ليش غلط
Beta blockers can mask hypoglycaemia symptoms in patients with diabetes; they are not the recommended agent for diabetes with proteinuria.
✓ CARDIOLOGY-HTN.pdf · p. 9 -
C
ليش غلط
CCBs are among the first-line agents usable in diabetes only without proteinuria; with proteinuria the notes recommend ACE inhibitors or ARBs.
✓ CARDIOLOGY-HTN.pdf · p. 9 -
D
ليش غلط
Clonidine is for HTN not controlled by two or more drugs (or complicated by renal disease), and methyldopa is mainly for pregnancy; central agents are not first choice here.
✓ CARDIOLOGY-HTN.pdf · p. 9 -
E
ليش غلط
Thiazide diuretics are among the first-line agents usable in diabetes only without proteinuria; with proteinuria the notes recommend ACE inhibitors or ARBs to protect the kidneys.
✓ CARDIOLOGY-HTN.pdf · p. 9
- المصدر
- CARDIOLOGY-HTN.pdf · p. 9
(Y4)-(M B) Therapeutic HTN Slides.pdf · p. 13 - المحاضرة
- Hypertension · Cardiology · Module B
- ظهر في
- Cardio bank