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Arab Board Family Medicine Clinical Practice Questions - Arab Board Family Medicine Final Clinical And Oral Examination (ABHS) Exam

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A 56-year-old man with a 6-year history of type 2 diabetes presents for a routine chronic disease review. His clinic blood pressure is 144/92 mmHg (confirmed on repeat measurement), and his urinary albumin-to-creatinine ratio (uACR) is 18 mg/mmol (elevated, indicating microalbuminuria). His serum creatinine is 88 µmol/L with an estimated GFR of 78 mL/min/1.73 m². Which antihypertensive agent is the most appropriate first-line choice for this patient?
Correct Answer:
Ramipril

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