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Hypertension in type 2 diabetes — GPhC CRA MCQ

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

ModerateCardiovascular TherapeuticsHypertension in type 2 diabetesGPhC CRA

A 47-year-old man with type 2 diabetes and persistent albuminuria has newly diagnosed hypertension. He is not taking antihypertensive treatment. What is the most appropriate alternative?

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

Reveal the answer and explanation

Correct answer: CRamipril once daily with renal function and potassium monitoring

ACE inhibitor therapy is commonly preferred in diabetes with albuminuria, provided renal function and potassium are monitored. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

Reference: BNF; NICE CKS