A 50-year-old with BMI 32 kg/m² and A1C 7.8% has HTN and microalbuminuria (ACR 110 mg/g). BP 142/88 mm Hg. Which first-line antihypertensive class is ...

Question

A 50-year-old with BMI 32 kg/m² and A1C 7.8% has HTN and microalbuminuria (ACR 110 mg/g). BP 142/88 mm Hg. Which first-line antihypertensive class is preferred?

Accepted Answer

ACE inhibitor (or ARB)

Answer

Thiazide diuretic only

Answer

Dihydropyridine CCB only

Answer

β‑blocker only

Answer

No therapy until BP ≥160/100

us-usmle-step-2 MCQ (SBA): Hypertension with Albuminuria

A 50-year-old with BMI 32 kg/m² and A1C 7.8% has HTN and microalbuminuria (ACR 110 mg/g). BP 142/88 mm Hg. Which first-line antihypertensive class is preferred?