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Cardio Question - drsammd
#1
A 45 year old male with a history of hypertension and hyperlipidemia complains of generalized weakness. His laboratory studies are below.

Serum
Na+ 144 mEq/L
K+ 5.9 mEq/L
Cl- 101 mEq/L
HCO3- 16 mEq/L
Urea nitrogen 66 mEq/L
Cr 2.8 mEq/L
Uric acid 13.1 mEq/L
Calcium 6.1 mEq/L

Urine dipstick
Specific gravity 1.030
Blood - positive
Nitrates “ negative
Leukocyte esterase “ negative

Urine microscopic examination

No WBCs
No RBCs

Which of the following medications is likely the cause of his symptoms?

A) lisinopril

B) verapamil

C) digoxin

D) rosuvastatin

E) hydralazine

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