OB-GYN Shelf Practice Questions - NBME Clinical Science Subject Examination In Obstetrics And Gynecology Exam

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A 31-year-old woman with chronic hypertension wants to become pregnant. Her blood pressure is well controlled with lisinopril. Which medication change is most appropriate before conception?

Continue lisinopril because blood pressure control is the only priority Switch to labetalol or extended-release nifedipine Stop antihypertensive therapy until the third trimester Add spironolactone to prevent preeclampsia

Correct Answer:

Switch to labetalol or extended-release nifedipine

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