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 Best of Five 137

 

   

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BOF: 137

A 45-year-old female presents with a history of Raynaudís phenomenon. She also complains of lethargy, anorexia and weight loss. She has heartburn.

On examination the skin over her hands is tight and there are multiple telangiectasia over the malar region.

Her blood pressure is 140/100 and this increase is sustained. Urine proteins ++

Her Investigations are as follows:

Blood urea is 8.7 mmol/l

Creatinine 120micrmoles/l

Na 138

K 4.2

HB 11.0 g/dL

MCV 90

ESR 60

In this patient the drug of first choice for control of her blood pressure would be a:

a)      Thiazide

b)    Beta-blocker

c)      Calcium antagonist

d)      ACE inhibitor

e)      Vasodilator

 

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