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Exam questionKROK 2Medicine ยท 2011

A 40-year-old female patient complain of headache, dizziness, muscle weakness, sometimes - cramps in the extremities. She has been taking antihypertensive medications for 10 years. AP- 180/100 mm Hg. Blood potassium -1,8 millimole/l, sodium - 4,8 millimole/l. In urine: alkaline reaction, the relative density -1012, protein and sugar are not found, WBCs - 3-4 in the field of vision, RBCs -12 in the field of vision. Conn's syndrome is suspected. Which drug should be chosen for the treatment of arterial hypertension?

Answer options

  1. Hydrochlorothiazide
  2. Enalapril
  3. Propanolol
  4. Clonidine
  5. Spironolactone
Correct answer

Spironolactone

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