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Update your Knowledge with MKSAP 17 Q&A

MKSAP has been trusted by internists since 1967 as the best resource for updating knowledge. MKSAP 17, available in Complete, Digital, and Print packages, consists of 11 comprehensive text chapters with related multiple-choice questions. You'll find 1,200 completely new questions to help you identify learning gaps, stay current, and gain the knowledge you need to provide the best possible patient care. MKSAP 17's original and high-quality questions evolve out of case studies and patient scenarios based on the latest evidence.

For more information on MKSAP 17, or to order your copy, visit mksap17.acponline.org.

MKSAP 17 Q&A

A 32-year-old woman is evaluated during a follow-up visit. She indicates that she and her husband are contemplating pregnancy, and she discontinued her oral contraceptive 2 months ago. Medical history is significant for hypertension, type 2 diabetes mellitus, and severe depression, which is currently in remission. Medications are lisinopril, metformin, atorvastatin, and sertraline. She does not smoke or use alcohol or illicit drugs. A normal Pap smear was obtained 1 year ago, no high-risk behaviors are identified, and her vaccinations are up to date.

On physical examination, blood pressure is 114/70 mm Hg. BMI is 24. The remainder of the examination is unremarkable.

A urine pregnancy test is negative.

Her lisinopril is discontinued, and she is started on a prenatal vitamin with folate.

Which of the following medications also needs to be discontinued?

A: Atorvastatin
B: Metformin
C: Sertraline
D: No additional changes needed

Answer and Critique

Back to the January 2018 issue of ACP International