A patient taking enalapril develops a persistent dry cough without fever or sputum. Which explanation is most accurate?

Correct answer: A. Accumulation of bradykinin in the airways

  • A. Accumulation of bradykinin in the airways
  • B. Excess fluid in the pulmonary alveoli
  • C. Reduced potassium in the bloodstream
  • D. Increased mucus production in the bronchi

Explanation

ACE inhibitors such as enalapril can cause a persistent dry cough by reducing bradykinin breakdown. Pulmonary oedema usually causes breathlessness and crackles, while low potassium and increased mucus are not the usual causes of this cough.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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About Cardiovascular and Respiratory Drugs

Cardiovascular and respiratory drugs include antihypertensives, diuretics, antianginal agents, antiarrhythmics, cardiac glycosides, anticoagulants, bronchodilators, corticosteroids and cough medicines. Questions focus on mechanisms, indications, contraindications, toxicity and monitoring, especially the difference between drugs that reduce blood pressure, improve cardiac output or open narrowed airways.

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