A 63-year-old man with type 2 diabetes and microalbuminuria has nausea and headache. BP 170/99. What is the best next step in management?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Start an angiotensin receptor blocker
In a hypertensive diabetic with microalbuminuria/proteinuria, an ACE inhibitor or ARB is preferred because of its renoprotective effect.
- CCBs and thiazides are acceptable first-line agents only in diabetics without proteinuria; β-blockers are not first-line here.
ليش كل خيار صح أو غلط
-
A
ليش غلط
Beta blockers are not among the first-line agents listed for diabetes, and they can mask symptoms of hypoglycemia in diabetic patients.
✓ CARDIOLOGY-HTN.pdf · p. 9 -
B
ليش صح
In a diabetic with proteinuria, ACE inhibitors or ARBs are recommended to protect the kidneys.
✓ CARDIOLOGY-HTN.pdf · p. 9 -
C
ليش غلط
CCBs are acceptable first-line agents in diabetes only without proteinuria; with microalbuminuria an ACEI or ARB is recommended.
✓ CARDIOLOGY-HTN.pdf · p. 9 -
D
ليش غلط
Thiazide diuretics are acceptable in diabetes only without proteinuria; with microalbuminuria an ACEI or ARB is recommended.
✓ CARDIOLOGY-HTN.pdf · p. 9
- المصدر
- CARDIOLOGY-HTN.pdf · p. 9
Step Up To Medicine 6th (Hypertension).pdf · p. 6 - المحاضرة
- Hypertension · Cardiology · Module B
- ظهر في
- MED42 ♂ EOM B