A 48-year-old woman with a history of hypertension, hypothyroidism, diabetes, and dyslipidemia comes to your primary care office to establish care. She recently moved from another state. Her current medications include hydrochlorothiazide, levothyroxine, metformin, and colesevelam, which was prescribed after she experienced severe myalgias with atorvastatin. Which of the following adverse effects is this patient most likely to experience with colesevelam?
A 48-year-old woman comes to establish care in your primary care office. She just moved from another state two weeks ago. Her medical history is significant for hypertension, hypothyroidism, diabetes and dyslipidemia. Her current medications include hydrochlorothiazide, synthroid, and metformin. She was started on atorvastatin six months ago, but she was unable to tolerate the medication due to severe myalgias. Today, her blood pressure is 125/85 mm Hg. You ordered a lipid profile and the results are: total cholesterol 250 mg/dL, triglycerides 280 mg/dL, high-density lipoprotein (HDL) 49 mg/dL, and low-density lipoprotein (LDL) 182 mg/dL. According to Modified 2022 ACC (American College of Cardiology) therapeutic recommendations for adult hypercholesterolemic patients with statin intolerance, this patient should be started on colesevelam as
A 48 year-old African American male comes to your cardiology clinic because his heart failure has not improved on hydrochlorothiazide, lisinopril and losartan. He is unable to cope with the side-effects of the medications. His medical history is also significant for hypertension. Which of the following is the next step in the management of this patient?
A 34 year-old female who is 12 weeks pregnant comes to your office for initiation of treatment for her hypertension. Of the following, which medication is useful to treat her hypertension?
A 48-year-old woman comes to your primary care clinic complaining of a facial rash,joint pains and photosensitivity. In the review of systems, she reports fever, hair loss, headaches, flushing, palpitations, feeling low, tingling sensation in both feet and peripheral edema. While reviewing her medications, she informs you that she started on a new medication 4 months ago. On physical examination, you observe that the patient has flushing of her cheeks with a distinct butterfly rash over her nose and cheeks. Her temperature is 99 °F (37.2 °C), heart rate is 108 beats/min, blood pressure is 148/98 mm Hg, respirations are 19 breaths/min, and oxygen saturation is 98% on room air. Laboratory studies are significant for the presence of anti-histone antibodies. Which of the following medications is most likely causing her distress?
A 72 year-old male presents to the emergency room with severe chest pain, nausea and vomiting. His past medical history is significant for hypertension and he has been taking lisinopril 20 mg daily for hypertension. His ECG displayed ST segment elevations in precordial leads. Lab tests revealed elevated troponin. His temperature is 99 ⁰ F, heart rate is 97 beats per minute, respiratory rate is 17 breaths per minute, and blood pressure is 220/140 mm Hg. Which of the following is the most effective way to reduce his blood pressure?
A 54 year-old woman presents to your cardiology clinic complaining of weakness, fatigue, palpitations and lightheadedness to the point of passing out while having dinner. Her medical history is significant for congestive heart failure and she was started on a new medication two weeks ago to improve her shortness of breath. On physical examination she has muscle weakness and depressed deep tendon reflexes. Laboratory tests revealed a potassium level of 6.4 mEq/Liter. ECG showed tall, peaked t-waves with loss of some p waves. Which of the following medications was this patient most likely given?
