A 60-Year-Old Man Who Was Recently Diagnosed with Hypertension Comes

question 26

Multiple Choice

A 60-year-old man who was recently diagnosed with hypertension comes to the office for follow-up.  He was treated with lisinopril but stopped a week ago due to a dry, nagging cough.  Past medical history is notable for type 2 diabetes mellitus with moderately increased albuminuria but normal creatinine clearance.  His other medications include metformin and rosuvastatin.  The patient does not smoke or drink alcohol.  His blood pressure is 150/92 mm Hg.  BMI is 31 kg/m².  Physical examination, including the heart and lungs, is unremarkable.  Which of the following is the best treatment for this patient's hypertension?

• A)Diltiazem
• B)Hydralazine
• C)Metoprolol
• D)Ramipril
• E)Valsartan

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Definitions:

Random Walk Theory

The hypothesis that stock market prices evolve according to a random walk and thus cannot be predicted.

Stock Prices

The market price of a share of a company's stock, reflecting investor sentiment and company valuation at a given time.

Predictable Pattern

A consistent and repeatable sequence observed in data, activities, or behaviors over time.

Systematic Trends

Patterns or movements in data that consistently occur over a specified period, indicative of a broader phenomenon or change.