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A 77-Year-Old Man Arrives at the Office After Being Discovered

Question 397

Multiple Choice

A 77-year-old man arrives at the office after being discovered to have high blood pressure at a health fair. The patient denies having any medical issues and is pleased that he hasn't needed to see a doctor in many years. His blood pressure is 170/70 mm Hg, and his pulse rate is 74 bpm. The rest of the physical examination findings are normal. To treat his hypertension, the patient is started on medication. He reports bilateral leg swelling at his three-week follow-up visit. He is not experiencing any chest pain, shortness of breath, or abdominal discomfort. His blood pressure is 135/65 mm Hg, and his pulse rate is 80 bpm. Although the cardiopulmonary exam is normal, there is bilateral, symmetrical, 2+ pitting lower extremity edema.   Laboratory studies show serum creatinine of 0.8 mg/dL, and urinalysis is negative for proteinuria.  Which of the following was most likely prescribed to treat this patient's hypertension?


A) Amlodipine
B) Eplerenone
C) Hydrochlorothiazide
D) Ramipril
E) Torsemide
F) Valsartan

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