Diabetes and hypertension first-line — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsDiabetes and hypertension first-lineGPhC CRA

A 52-year-old man with type 2 diabetes and persistent clinic blood pressure around 152/94mmHg has microalbuminuria. He has NKDA, potassium 4.3 mmol/L and eGFR 72 mL/min/1.73m2. A GP asks for a first-line option. What is the most appropriate alternative?

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Correct answer: C — Ramipril

In hypertension with diabetes and albuminuria, an ACE inhibitor such as ramipril is commonly appropriate if there are no contraindications. Renal function and potassium should be monitored after initiation and dose titration. A calcium-channel blocker may be used in other contexts but does not address the albuminuria indication in the same way. The options are plausible antihypertensives, but ramipril best fits this scenario.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment