Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 57-year-old man presents to his primary care physician for a routine follow-up of hypertension. He has no complaints during this visit. His blood pressure 2 months ago was 165/95 mmHg. The patient has had 2 follow-up visits since then, both documenting high blood pressure. The patient suffered a hypersensitivity reaction to trimethoprim-sulfamethoxazole 6 months ago for the treatment of a urinary tract infection. Past medical history is significant for gout, congestive heart failure, and chronic obstructive pulmonary disease. Temperature is 36.6°C (97.9°F), pulse is 80/min, respirations are 26/min, and blood pressure is 162/95 mmHg. Serum creatinine is 5.5 mg/dL. CT angiography reveals 80% narrowing of the right renal artery and 90% narrowing of the left renal artery. The physician discusses the risks and benefits of starting the patient on lisinopril to manage his hypertension. Which of the following is a contraindication to this medication in this patient?  

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