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A 62-Year-Old Man Comes to the Office for Follow-Up of Hypertension

question 287

Multiple Choice

A 62-year-old man comes to the office for follow-up of hypertension. He was diagnosed with hypertension 10 years ago and has been treated with a number of different medications. However, the patient has had to discontinue several medications due to side effects such as dizziness, palpitations, and headaches. Currently he takes ramipril and chlorthalidone and is tolerating them well. Blood pressure is 160/92 mm Hg and was 158/89 mm Hg at his most recent prior visit. ECG shows sinus bradycardia (55/min) with PR interval prolongation (280 msec) . Which of the following medications would be most effective for lowering this patient's blood pressure without worsening his ECG abnormalities?

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Definitions:

Cultural Relativism

The principle that an individual's beliefs and activities should be understood by others in the context of that individual's own culture.

Folkways

Norms or customary behaviors that are socially approved but not morally significant, dictating appropriate manners and actions in daily routines and interactions.

Severe Punishment

Harsh or extreme disciplinary actions taken in response to an individual's wrongdoing, often intended as a deterrent against future offenses.

Norms

The unwritten rules or standards of behavior considered acceptable within a society or social group.