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 mcq  



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Author9 Posts
  #1

A 55YRold male with type 1 DM and with H/O microalbuminuria has hypertension.which of the antihypertensive would best suit the condition
a.captopril
b.propanolol
c.hydrochlorthiazide
d.terazosin




  #2

Ace inhibitor captopril


  #3

answer a
captopril


  #4

correct


  #5

This is too simple a question......the real question is ........

What if the patient has a C/I to ACE I.....like B/L renal artery stenosis....
what wld be the drug of choice in that setting?

and by the way it is not in the list........


:wink:


  #6

losartan?


  #7

No :oops:

It wldn't be right cause Losartan still works on Angiotensin and you still would compromise the renal Circulation and cause Renal Failure in the patient...

Losartan wld be given when cough is a side effect of ACE I...but when there is a complication related to Angiotensin then it wld be useless....


Give it another shot :wink:


  #8

Hi,
I would choose from:
a calcium chanel blocker
or an alfa chanel blocker
or a central inhibitor like clonidine.
All of these drugs should not affect the renal perfusion.


  #9

Yes that is correct.....

But out of all these the ones tested statistically to improve renal function , prevent diabetic nephropathy in a diabetic with microalbuminuria are the ones u put first on ur list ......the non-dihydropyridine Ca++ channel antagonists and they are verapamil and diltiazem......

Of course they remain to be 2nd line agents to the the ACE I

Hey another thing good i got a chance to tell u thanx for this site......
Good Job





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