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Old 11-05-2011
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Drug Drug-induced Adverse Effect

A 62-year-old African man presented at the Accident and Emergency department with unilateral swelling of the face, lips, jaw line and cheek. About 24 hours ago he had noticed some swelling of his cheek and since then it had gradually progressed and there was now massive swelling of his lips and face. He described having experienced several previous episodes of localized swelling of the face over the last 6–12 months. Medical history included hypertension and depression. Current drug therapy includes Enalapril (10 mg/day), Bendroflumethiazide (2.5 mg/day), Citalopram (20 mg/day) and Alprazolam (0.25 mg twice daily since 2 weeks ago). He had been taking all of these medicines (except for alprazolam) for at least 5 years. Which of the patient’s medicines is most likely to be responsible for this presentation?

A) Alprazolam
B) Citalopram
C) Enalapril
D) Bendroflumethiazide
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priyanka.N (11-06-2011)

Old 11-05-2011
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C) Enalapril

which is an ACE-I, and one of his side effect is an angioedema, other important side effect is the dry cough....
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Evergreen (11-06-2011), priyanka.N (11-06-2011)
Old 11-05-2011
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Default C -enalapril

Also Inhibits Bradykinin's Metabolism - > Edema !
Step 1 - 244 [✔] Step 2 CK - 246 [✔] Step 2 CS [✔] Step 3 - 228 [✔] Match [EMORY SOM] YOG: 2013, 4 Months of USCE University Hospital
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Pharmacology-, Step-1-Questions

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