Repeated USMLE Questions Step 2 CK- 255

A 59 year-old man with a long history of type 2 diabetes visits the clinic for follow up. He takes metformin, aspirin and pravastatin. Besides diabetes, he was diagnosed with hypertension 1 year ago. He made lifestyle changes in the form of diet and exercise but they did not help in lowering his blood pressure. His BMI is 25% and his blood pressure today is 150/92 mmHg.

What is the most appropriate treatment for this patient’s hypertension?

A - Lisinopril 10 mg daily

B - Metoprolol 25 mg daily

C - Hydralazine 50 mg daily

D - Minoxidil 30 mg daily

E - Continue lifestyle modification for 3 months

Answer





The rule of thumb in treating hypertension in diabetic patients is using ACE inhibitors to avoid renal problems.

The correct answer is A