22/09/2026
DHA GP CLINICAL MCQ 🩺
A 52-year-old man with type 2 diabetes has persistent albuminuria and an eGFR of 58 mL/min/1.73 m². His blood pressure remains above target despite ACE inhibitor therapy.
Which option provides the best additional renal and cardiovascular protection?
A. Add a thiazide diuretic
B. Add an SGLT2 inhibitor
C. Add a DPP-4 inhibitor
D. Switch to an ARB
E. Start insulin therapy
Reply with A–E before checking your notes.
✅ Correct answer: B — add an SGLT2 inhibitor.
Why? In type 2 diabetes with CKD and albuminuria, SGLT2 inhibitors reduce progression of kidney disease and cardiovascular events in addition to standard renin–angiotensin system blockade when appropriate.
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