USMLE Forum Archives - USMLE Step 3 - IM 1
IM 1
bingousmle - 06-20-10 05:52
A 55-year-old woman with a past medical history of diabetes walks into the emergency department (ED) stating that her tongue and lips feel like they are swollen. During the history, she tells you that her doctor just started her on a new blood pressure (BP) medication. Her only other medicationis a baby aspirin. Her vitals at triage are: BP 130/70 mm Hg, heartrate (HR) 85 beats per minute, respiratory rate (RR) 16 breaths per minute, oxygen saturation 99% on room air, and temperature 98.7°F. On physical examination, you detect mild lip and tongue swelling. Over the next hour, you notice that not only are her tongue and lips getting more swollen, but her face is starting to swell, too. What is the most likely inciting agent?
a. Metoprolol
b. Furosemide
c. Aspirin
d. Lisinopril
e. Diltiazem
bingousmle - 06-20-10 05:52
A 55-year-old woman with a past medical history of diabetes walks into the emergency department (ED) stating that her tongue and lips feel like they are swollen. During the history, she tells you that her doctor just started her on a new blood pressure (BP) medication. Her only other medicationis a baby aspirin. Her vitals at triage are: BP 130/70 mm Hg, heartrate (HR) 85 beats per minute, respiratory rate (RR) 16 breaths per minute, oxygen saturation 99% on room air, and temperature 98.7°F. On physical examination, you detect mild lip and tongue swelling. Over the next hour, you notice that not only are her tongue and lips getting more swollen, but her face is starting to swell, too. What is the most likely inciting agent?
a. Metoprolol
b. Furosemide
c. Aspirin
d. Lisinopril
e. Diltiazem
The correct answer and explanation will be available after you answer.
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#2
Re: IM 1
bingousmle - 06-20-10 06:23 My answer is: d.
ACE-I–induced angioedema can occur after short- or long term use of the medication. None of the other medications listed cause angioedema. The medication should be immediately discontinued.
#3
Re: IM 1 babbu5508 - 06-20-10 14:01 My answer is: d.
the condition is angioedema..evidenced bymild lip and tongue swelling,face beginning to swell as well..due to drug hypersensitivity..likely to be ACE inhibitors
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