A 63-year-old with diabetes and CKD G3a has BP 138/84 on ACE inhibitor and thiazide. Ambulatory BP monitoring confirms nocturnal hypertension. Next be...

Question

A 63-year-old with diabetes and CKD G3a has BP 138/84 on ACE inhibitor and thiazide. Ambulatory BP monitoring confirms nocturnal hypertension. Next best step?

Accepted Answer

Add dihydropyridine calcium channel blocker

Answer

Add SGLT2 inhibitor for BP only

Answer

Stop ACE inhibitor

Answer

No change

Answer

Beta blocker first-line for BP

us-abim MCQ (SBA): CKD Hypertension Combination

A 63-year-old with diabetes and CKD G3a has BP 138/84 on ACE inhibitor and thiazide. Ambulatory BP monitoring confirms nocturnal hypertension. Next best step?