A 75-Year-Old Man Comes to the Office for Follow-Up of Hypertension

question 25

Multiple Choice

A 75-year-old man comes to the office for follow-up of hypertension.  In recent weeks, his blood pressure has consistently been 160-165/85-90 mm Hg.  Medical history includes a right carotid endarterectomy for recurrent transient ischemic attacks, a myocardial infarction 2 years ago, and coronary artery bypass surgery for unstable angina 1 year ago.  The patient currently takes metoprolol, clopidogrel, amlodipine, and rosuvastatin.  He quit smoking 20 years ago and does not drink alcohol.  The patient is compliant with his medical therapy and office visits.  Ramipril is added to his medication regimen.  One week later, creatinine is 2.1 mg/dL, up from a baseline of 1.1 mg/dL.  Assuming the patient's baseline urinalysis is normal, a repeat urinalysis at this time would most likely reveal which of the following?

• A)A
• B)B
• C)C
• D)D

---

Definitions:

Wall Street

The financial district of New York City, symbolizing the financial markets and institutions of the United States.

Slums

Highly populated urban residential areas consisting mostly of closely packed, decrepit housing units in a situation of deteriorated or incomplete infrastructure.

Homeless

Individuals who lack a fixed, regular, and adequate nighttime residence, facing significant challenges in obtaining shelter and stability.

Cash Equivalent

Assets that are easily convertible into cash with little to no risk of change in value.