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Internal Medicine Board Exam

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A 52-year-old guy with Type 2 diabetes attends the clinic for his yearly checkup. The only drug he takes is metformin. His serum creatinine level was 1.8 mg/dL, and his most recent hemoglobin A1C result was 6.5%. Despite having a high blood pressure of 170–175 mm/Hg, the remainder of his evaluation is negative. Although his chest x-ray is normal, left ventricular hypertrophy is suggested by his EKG. Which medication would be best for treating his hypertension?
Correct Answer:
Angiotensin receptor blocker (ARB)

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