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Question 1
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
Question 2
A 62-year-old woman with type 2 diabetes and a history of myocardial infarction 2 years ago attends clinic with an HbA1c of 8.4% despite adherence to metformin 1000 mg twice daily. Her BMI is 32 kg/m² and eGFR is 75 mL/min/1.73 m². Which second-line glucose-lowering agent is most appropriate to add to improve her glycemic control and reduce cardiovascular mortality?
Correct Answer:
Empagliflozin
Question 3
A 68-year-old man with type 2 diabetes and stage 3b chronic kidney disease (eGFR 38 mL/min/1.73 m², uACR 45 mg/mmol) is currently taking metformin 500 mg daily and lisinopril 20 mg daily. His HbA1c is 7.9%. Which medication should be initiated to provide optimal kidney and cardiovascular disease protection?
Correct Answer:
Dapagliflozin
Question 4
A 52-year-old woman with longstanding poorly controlled type 2 diabetes presents with recurrent postprandial fullness, early satiety, nausea, and vomiting of undigested food several hours after eating. A gastric emptying scintigraphy confirms delayed gastric emptying consistent with diabetic gastroparesis. In addition to optimizing glycemic control and recommending small, low-fiber, low-fat meals, which pharmacological agent is most appropriate for initial symptom management?
Correct Answer:
Metoclopramide
Question 5
A 48-year-old man with type 1 diabetes on insulin glargine at bedtime and insulin aspart before meals reports waking up with high fasting blood glucose levels (14–16 mmol/L). He complains of vivid nightmares, night sweats, and morning headaches. Checking his blood glucose at 03:00 AM reveals a level of 2.6 mmol/L. What is the most appropriate management strategy for his morning hyperglycemia?
Correct Answer:
Reduce the bedtime insulin glargine dose
Question 1
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About this Exam

Prepare with the Arab Board Family Medicine Clinical Practice Questions - Arab Board Family Medicine Final Clinical and Oral Examination (ABHS) Exam practice quiz. This question bank includes 100 questions covering year-old, woman, history, mmol, and presents. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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

This practice set contains 100 questions from the matching question bank and focuses on year-old, woman, history, mmol, and presents. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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