11-18-2007, 07:20 PM
A 63-year-old retired airline pilot comes to the office for a first time visit. He is switching primary care doctors because he is very unhappy with the care that he had been getting elsewhere. He brings his medical records with him and you see that he has long-standing cirrhosis due to previous alcohol abuse and he has documented portal hypertension. He has no history of gastrointestinal bleeding. He has a very long medication list. He tells you that his pharmacist told him that his medications "were wrong" and that his doctor was prescribing drugs improperly. He is understandably very concerned. You review his medication list with him. You find a number of medication incompatibilities. To prevent disability from this situation, he should be advised to discontinue
A. lactulose and oral potassium
B. propranolol and inhaled albuterol
C. propranolol and isosorbide dinitrate
D. spironolactone and hydrochlorothiazide
E. spironolactone and oral potassium
A. lactulose and oral potassium
B. propranolol and inhaled albuterol
C. propranolol and isosorbide dinitrate
D. spironolactone and hydrochlorothiazide
E. spironolactone and oral potassium