Challenging Question #7

1529 Views 4 Replies 4 Participants Last post by DRFP, Sep 17, 2010

MedicalExams

Discussion Starter · Sep 16, 2010

7) A 65- year- old retired truck driver who smokes a pack of cigarettes daily is diagnosed with essential hypertension. He has no previous history of cardiovascular disease or sexual dysfunction. In the primary care physician’s office, his blood pressure is 170/95 mmHg. He is prescribed a single therapeutic agent. Shortly after the beginning of the treatment, he experiences difficulties in obtaining and maintaining an erection.

What medication is most likely to have caused this adverse effect?

A) Hydrochlorothiazide
B) Enalapril
C) Losartan
D) Prazosin
E) Verapamil

Explanation will be posted soon....

Save

1 - 5 of 5 Posts

good_boy_1234

· #2 · Sep 16, 2010

Is it E) Verapamil?

Save

TheOneTheOnly

· #3 · Sep 17, 2010

good_boy_1234 said:
Is it E) Verapamil?

Care to give some reasoning behind choosing E?

Save

good_boy_1234

· #4 · Sep 17, 2010

TheOneTheOnly said:
Care to give some reasoning behind choosing E?

Sorry...I changed my choice to Prazosin

Save

DRFP

· #5 · Sep 17, 2010

good_boy_1234 said:
Sorry...I changed my choice to Prazosin

Yeah I think thats it, 1st dose hypotension problem

its not used anymore in the USA, only very rarely

HTN management is now

Diuretic, Beta Blocker, ACEI, ARB ( lots of DM II), CCB driven therapy now.

Save

Reactions: 1

1 - 5 of 5 Posts

This is an older thread, you may not receive a response, and could be reviving an old thread. Please consider creating a new thread.

Top Contributors this Month