A 60-Year-Old Man Comes to the Office for a Routine

question 444

Multiple Choice

A 60-year-old man comes to the office for a routine follow-up visit.  He feels well overall except for an intermittent, mild, generalized headache.  The patient has no known medical problems and takes no medications.  He does not smoke, follows a generally healthy diet, and exercises daily.  On examination, his blood pressure is 150/85 mm Hg, and he is started on lisinopril.  At a follow-up visit, the patient's blood pressure is 128/78 mm Hg.  He also has a dry cough that began a few weeks after starting lisinopril.  This drug is stopped and losartan is now prescribed.  The patient seems to be compliant with his medication; the cough resolves and he experiences no significant side effects.  When compared with no treatment at all, this patient's current therapy is most likely to result in which of the following changes?

• A)A
• B)B
• C)C
• D)D

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Definitions:

Linnaeus' Classification

A system of categorizing and naming organisms developed by Carl Linnaeus, based on shared physical characteristics.

Structural Differences

Variations in the physical or anatomical organization between organisms, cells, or molecules.

Evolutionary Species Concept

A definition of species based on evolutionary lineage, where a species is a lineage of populations which maintains its identity from other such lineages and has its own evolutionary tendencies and historical fate.

Natural Selection

The process by which organisms better adapted to their environment tend to survive and produce more offspring.