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Kaplan Qbank USMLE



Author4 Posts
  #1

45 yr old woman presents with moderate HT (BP = 165/100 mmHg), total cholesterol (275 mg/dl) and lipid profiles (LDL 220, HDL 35) and past family hx indicate risk of CAD and familial type IIa hypercholestrolemia. Based on this info, which of the following anti-HT could exacerbate her hyperlipidemia?

a) enalapril
b) HCTZ
c) nifedipine
d) indapamide
e) prazosin

  #2

HCTZ

  #3

yes correct

All agents listed will effectively lower BP but thiazide diuretics such as HCTZ also raise cholesterol and LDL levels, and would not be first choice in hyperlipidemic pt

  #4

which antihyperetnsive would be suitable in this case ?







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