48 board-style questions on diabetes in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 56-year-old woman with type 2 diabetes and hypertension presents for follow-up. Her current blood pressure is 138/86 mmHg on lisinopril 10 mg daily. Her HbA1c is 7.1%, serum creatinine is 0.9 mg/dL, and urine albumin-to-creatinine ratio is 45 mg/g. According to the 2017 ACC/AHA hypertension guidelines, what is her blood pressure target?
A 74-year-old woman with hypertension, obesity (BMI 34), and type 2 diabetes presents with progressive exertional dyspnea and bilateral lower extremity edema over 3 months. Echocardiogram shows an ejection fraction of 62%, left atrial enlargement, grade II diastolic dysfunction, and estimated RVSP of 42 mmHg. BNP is 310 pg/mL. She is currently on lisinopril and furosemide. Which medication has the strongest evidence for reducing heart failure hospitalizations in her condition?
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