🏥 USMLE Exam Prep

A 62-year-old patient with hypertension is started on a new medication. After a few weeks, he develops a persistent, non-productive cough that is particularly bothersome at night. Which class of antihypertensive drugs is most likely responsible for this side effect?

A Thiazide diuretics
B Beta-blockers
C Calcium channel blockers
D ACE inhibitors

✓ Correct Answer: Option D

ACE inhibitors commonly cause a persistent, dry cough in about 10-20% of patients. This side effect is thought to be due to the accumulation of bradykinin, which is normally degraded by ACE.

💡 Why is D) the correct answer?

The correct answer to the question "A 62-year-old patient with hypertension is started on a new medication. After a few weeks, he develops a persistent, non-productive cough that is particularly bothersome at night. Which class of antihypertensive drugs is most likely responsible for this side effect?" is Option D: ACE inhibitors.

The other options — A) Thiazide diuretics, B) Beta-blockers, C) Calcium channel blockers — are incorrect for this USMLE Exam Prep question. As explained above: ACE inhibitors commonly cause a persistent, dry cough in about 10-20% of patients. This side effect is thought to be due to the accumulation of bradykinin, which is normally degraded by ACE.

📚 About This USMLE Exam Prep Practice Question

This 1-level USMLE Exam Prep question from the Step 1 – Basic Sciences topic is part of BrainForge Quiz's free exam preparation library. Each question includes the correct answer and a detailed explanation to help you understand the underlying concept, not just memorize the answer.

How to use this page: Read the question above, consider all four options (A through D), then check the highlighted correct answer and explanation. For active timed practice, start a free USMLE Exam Prep practice test or use flashcards for spaced repetition review.

Related USMLE Exam Prep Questions