College Family Physicians Exam Prep | Hong Kong SAR China

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A 68-year-old woman with a history of hypertension and Type 2 Diabetes is found to have a urine albumin-to-creatinine ratio (ACR) of 12 mg/mmol on two occasions. Her eGFR is 52 mL/min/1.73m². Which class of antihypertensive medication is the first choice to manage her hypertension and chronic kidney disease?

Calcium channel blocker (CCB) Thiazide-like diuretic Angiotensin-converting enzyme inhibitor (ACEi) or Angiotensin receptor blocker (ARB) Beta-blocker

Correct Answer:

Angiotensin-converting enzyme inhibitor (ACEi) or Angiotensin receptor blocker (ARB)

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