skip to main content

ACE inhibitor monitoring — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

ModerateCardiovascular TherapeuticsACE inhibitor monitoringGPhC CRA

A GP starts ramipril 2.5mg once daily for a 43-year-old woman with hypertension. She asks the pharmacy team when blood tests should be checked after initiation. What monitoring is required?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Renal function and electrolytes in 1 to 2 weeks

ACE inhibitors can reduce glomerular filtration pressure and increase potassium. Baseline renal function and electrolytes are required, with repeat testing shortly after starting treatment or changing the dose. The key monitoring is urea and electrolytes, creatinine or eGFR, and potassium.

Reference: BNF; NICE CKS