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Diabetes with albuminuria hypertension — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsDiabetes with albuminuria hypertensionGPhC CRA

A 49-year-old man with type 2 diabetes, hypertension and raised ACR has eGFR 78 and potassium 4.6 mmol/L. What is the most appropriate alternative?

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Correct answer: C — Ramipril 2.5 mg once daily

This scenario assesses Diabetes with albuminuria hypertension in a UK pharmacy practice context. Renin-angiotensin system blockade is preferred in hypertension with diabetes and albuminuria when not contraindicated. The best answer is Ramipril 2.5 mg once daily because it addresses the principal clinical, legal or safety issue before routine supply. The other options are less appropriate because they either miss the key risk, delay necessary review, or would not meet expected BNF, NICE, MEP, MHRA or GPhC practice standards.

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