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岚哥岚嫂说病例第2季第07期(病例部分)

岚哥岚嫂说病例第2季第07期(病例部分)

作者: 岚逸筠篁 | 来源:发表于2016-10-01 08:24 被阅读46次

    A 56-year-old woman was recently started on medication for high blood pressure. At her next office visit her hypertension is under good control, but she now complains of “feeling strange” since she started the medication. On further questioning, she reports feeling chest tightness several times over the past 2 weeks, and has also noticed pain in her elbows and knees. Her blood pressure is 124/78 mmHg (146/82 mmHg on last visit), heart rate is 102/min, and respiratory rate is 14/min. Her examination is notable for several erythematous plaques on the malar distribution of the face, arms, and upper torso.

    Question:

    What medication was she likely started on during her last visit? Give the reason.

    (A) Captopril
    (B) Furosemide
    (C) Hydralazine
    (D) Metoprolol
    (E) Verapamil

    本次病例的患者是一位56岁的女性,最近在接受高血压药物治疗,在这次的随访中她的血压控制得不错,但是她抱怨自从用药后就会有一些奇怪的感觉。再进一步追问中,她主诉在过去两周期间有数次胸闷,并且在肘关节和膝关节有疼痛的症状。她现在的血压是124/78 mmHg(上一次随访时是146/82 mmHg),心率102次/分,呼吸频率14次/分。体检发现在颧骨、手臂和上半身出现红色的团块。

    请问她上次随访后用的是什么药物?并说出理由。
    A卡托普利
    B呋塞米
    C肼屈嗪
    D美托洛尔
    E维拉帕米

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