A 78-year-old woman has a history of T2DM, diabetic nephropathy, heart failure, and hyperuricemia comes to the physician for blood pressure follow-up after attempting lifestyle changes as suggested. Her BP is currently 165/98 mmHg. Which of the following drugs is most appropriate for the initial treatment of this woman's hypertension?
سؤال مجاني 3 من 10 اليوم · اشترك وكمّل بدون حد
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الإجابة: C. Enalapril
Enalapril (ACEi) fits all her comorbidities: diabetic nephropathy (renoprotection), heart failure and gout. Hydrochlorothiazide raises uric acid (bad in hyperuricemia), verapamil (non-DHP CCB) should be avoided in HFrEF, and atenolol is not first-line for HTN.
ليش كل خيار صح أو غلط
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A
ليش غلط
Beta blockers can mask hypoglycaemia symptoms in diabetes, and for diabetes with proteinuria the notes recommend an ACE inhibitor or ARB to protect the kidneys instead.
✓ CARDIOLOGY-HTN.pdf · p. 9 -
B
ليش غلط
In gout or hyperuricemia thiazide diuretics should be avoided because they increase uric acid levels.
✓ CARDIOLOGY-HTN.pdf · p. 9 -
C
ليش صح
ACE inhibitors are recommended for diabetes with proteinuria (kidney protection) and for heart failure, and they are also recommended in gout.
✓ CARDIOLOGY-HTN.pdf · p. 9 -
D
ليش غلط
Non-dihydropyridine CCBs such as verapamil should not be used in patients with HFrEF because of their myocardial depressant effects.
✓ CARDIOLOGY-HTN.pdf · p. 9
- المصدر
- CARDIOLOGY-HTN.pdf · p. 9
- المحاضرة
- Hypertension · Cardiology · Module B
- ظهر في
- Cardio bank