#march2020mccqe1
A 26-year-old woman has a 10-year history of type 1 diabetes mellitus. She has maintained strict glycemic control and has had no significant diabetic complications so far. On her last routine examination, her blood pressure is 125/78 mm Hg. Blood chemistry studies are within normal limits. Funduscopic examination reveals no evidence of diabetic retinopathy. Which of the following is the most appropriate next step in management to prevent diabetic nephropathy?
(A) Periodic measurement of serum creatinine levels
(B) Screening for microalbuminuria with dipstick examination of urine
(C) Screening for microalbuminuria with 24-hour urine collection
(D) Administration of ACE inhibitors
(E) Renal biopsy
A 26-year-old woman has a 10-year history of type 1 diabetes mellitus. She has maintained strict glycemic control and has had no significant diabetic complications so far. On her last routine examination, her blood pressure is 125/78 mm Hg. Blood chemistry studies are within normal limits. Funduscopic examination reveals no evidence of diabetic retinopathy. Which of the following is the most appropriate next step in management to prevent diabetic nephropathy?
(A) Periodic measurement of serum creatinine levels
(B) Screening for microalbuminuria with dipstick examination of urine
(C) Screening for microalbuminuria with 24-hour urine collection
(D) Administration of ACE inhibitors
(E) Renal biopsy