A 62-year-old woman with chronic kidney disease (eGFR 38 mL/min/1.73 m²) and long-standing hypertension presents to clinic. Her sitting office blood p...

Question

A 62-year-old woman with chronic kidney disease (eGFR 38 mL/min/1.73 m²) and long-standing hypertension presents to clinic. Her sitting office blood pressure is 154/92 mm Hg on repeated visits. According to Canadian guidance, which initial pharmacologic option is most appropriate?

Accepted Answer

Angiotensin-converting enzyme inhibitor as first-line

Answer

Thiazide diuretic monotherapy

Answer

Calcium channel blocker monotherapy

Answer

Beta-blocker monotherapy

Answer

No pharmacologic therapy until systolic blood pressure exceeds 160 mm Hg

ca-mccqe1 MCQ (SBA): Hypertension in chronic kidney disease

A 62-year-old woman with chronic kidney disease (eGFR 38 mL/min/1.73 m²) and long-standing hypertension presents to clinic. Her sitting office blood pressure is 154/92 mm Hg on repeated visits. According to Canadian guidance, which initial pharmacologic option is most appropriate?