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 Best of Five 2.163

 

   

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BOF: 2.163

A 45 year old female who is know to have diffuse cutaneous scleroderma presents with headache and blurring of vision.

On examination her blood pressure is 240/140. Ophthalmoscopy shows thickened vessels, arteriovenous nipping, haemorrhages and soft exudates and papilloedema.

Investigations reveal a high blood urea and serum creatinine.

In this patient which of the following would you use to control her hypertension?

a)      Nitroprusside

b)      Furosemide

c)      Beta blocker

d)      Sublingual calcium antagonist

e)      Angiotensin converting enzyme inhibitor

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