MKSAP: 25-year-old woman comes for a preconception evaluation
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 25-year-old woman comes for a preconception evaluation. She has a history of hypertension that is well controlled with lisinopril. Medical history is otherwise unremarkable.
On physical examination, blood pressure is 134/86 mm Hg in both upper extremities; other vital signs are normal. Results of the cardiovascular examination are unremarkable. There is no edema, cyanosis, digital clubbing, or radial artery-femoral artery pulse delay.
Laboratory studies reveal normal electrolytes, complete blood count, thyroid-stimulating hormone level, kidney function, and urinalysis.
An electrocardiogram is normal.
In addition to starting a prenatal vitamin, which of the following medication adjustments should be made before this patient proceeds with pregnancy?
A: Discontinue lisinopril
B: Substitute labetalol for lisinopril
C: Substitute losartan for lisinopril
D: Substitute spironolactone for lisinopril
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Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: mksap Tags: Conditions Heart Source Type: blogs
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