Saturday, January 6, 2018
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
The rule of thumb in treating hypertension in diabetic patients is using ACE inhibitors to avoid renal problems.
The correct answer is A