A 54-year-old woman comes to the physician for a follow-up examination. She has been recently diagnosed with hypertension and was given lisinopril but stopped it a week ago due to progressive dry cough. Her temperature is 37.3°C (99.1°F), pulse is 93/min, and blood pressure is 152/93 mm Hg. She has a history of type 2 diabetes mellitus. Examination shows no abnormalities. She is sexually active with her husband and uses condoms inconsistently. Which of the following is the best treatment for this patient's hypertension?

Question

Quizplus · Accepted Answer

Eductional Objective: Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) reduce the risk of chronic kidney disease in patients with hypertension and diabetes.  ACE inhibitors raise levels of bradykinin and can cause a nonproductive cough, an effect not seen with ARBs.

A 54-Year-Old Woman Comes to the Physician for a Follow-Up