Diplomat Board of Family Medicine June 22

A 50-year-old hypertensive patient comes to you on a follow-up visit. You had prescribed Enalapril 10 mg for him one month ago. He complains of a persistent dry cough since the start of the medication. His blood pressure is now within normal limits. What is the most appropriate next step in treatment?

A 59-year-old male hypertensive patient comes for review. He takes 10mg of Enalapril once a day and Amlodipine 10mg once daily. His blood pressure remains uncontrolled, and you want to add a third agent. His Physical examination is unremarkable. His blood pressure today is 152/94 mmHg.What is the most appropriate next step in treatment?

A 59-year-old male hypertensive patient comes for review. He takes 10mg of Enalapril once a day and Amlodipine 10mg once daily. His blood pressure remains uncontrolled, and you want to add a third agent. His Physical examination is unremarkable. His blood pressure today is 152/94 mmHg. Which drug should be added to the current regimen to control hypertension?

A 56-year-old man presents with complaints of new onset swelling over his feet. He is known hypertensive and is using Valsartan, Amlodipine, Bisoprolol, Aspirin, Methylcobolamine. His blood pressure is 130/80mmHg and his pulse is 74 bpm.Which medication might have caused swelling in feet in this patient?

A 31-year-old-woman is found to have high blood pressure on first antenatal visit at 4 weeks of gestation. Her BP is 150/90 mm Hg on three occasions. Her work up for hypertension is unremarkable.What is the most appropriate drug to control her BP according to NICE guidelines?

A 50-year-old hypertensive woman is seen in the clinic for pain and swelling in her right toe from the past 2 weeks when a drug was added to her previous regimen for hypertension. Addition of which of the following drugs could have caused her condition?

What advice would you give to a 60-year-old man who has undergone PCI (Percutaneous Coronary Intervention) for Acute Coronary Syndrome, regarding his lipid therapy? Blood Pressure: 142/82 mmHg Triglycerides: 275 mg/dl. What is the right dose of Atorvastatin for him?

A 58-year-old man who is known diabetic and hypertensive presents with muscle aches and pains after his previous doctor changed his medications recently. He is currently taking the following medications: Enalapril, Metformin, Sitagliptin, Simvastatin, and Aspirin. Which of these medicines is mostly responsible for muscle aches and pains?

A 40-year-old man has Triglyceride level of 1200 mg/dl and Total Cholesterol level of 240 mg/dl. He does not have risk factors for coronary artery disease.What is the initial first line drug of choice for him at this stage?

A 56-year-old man came to you for review. He is admitted with a non-ST elevation myocardial infarction (NSTEMI) in the emergency department. He is treated with Clopidogrel, Aspirin & Simvastatin. For how long he should take Clopidogrel?