CAOP Competency Assessment

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A 68-year-old patient who was started on lisinopril four weeks ago for hypertension complains of a persistent, non-productive, dry cough that often wakes him at night. He has no other symptoms of a respiratory infection. What is the most likely cause of this cough?

A predictable, class-specific effect of the ACE inhibitor. A common viral infection unrelated to his medications. A rare allergic reaction to an excipient in the lisinopril tablet. A symptom of declining cardiac function.

Correct Answer:

A predictable, class-specific effect of the ACE inhibitor.

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