q3 - ps72

[ArchivalUser]

a 77 year lod woman presents to the emergency department four weeks after a anterior wall myocardial infarction and one week after completing therapy for lower respiratory track infection she complains of nausea vomiting and malaise her serum creatinine level is 4.8 mg/dl which of the following drugs caused this laboratory anomaly?
a)acetaminphen
b)captopril
c)cefixime
d)ciprofloxacin
e)metoprolol
f)nitroglycerine

[ArchivalUser]

C?

[ArchivalUser]

ans is B captopril

[ArchivalUser]

can you explain ps72?

[ArchivalUser]

the pateint is complainig of nausea vommiting and malaise which indicate azotemia and high serum creatinine levels so it is acute renal failure
the most common cause of acute renal failure is ischemia and captoril an ace inhibitor causes dec blood suply to the kidney