QuestionSBA
QuestionChoice
Losartan is an angiotensin receptor blocker (ARB) that can be used for the treatment of hypertension. It can cause a cough, but not chest pain or wheezing. It is not contraindicated in asthma, and is therefore very unlikely to have led to the presentation described above.
10008094
e
Losartan
QuestionChoice
Aspirin is a common antiplatelet medication, used to reduce an individual's cardiovascular risk. There is a very low chance that it will cause an asthma exacerbation or bronchospasm. Therefore, it is not the most likely medication to have been initiated in error in this case.
10008092
c
Aspirin
QuestionChoice
Furosemide is a loop diuretic that can be used for the treatment of resistant hypertension. It is not known to cause the symptoms described above or to have an effect on a prior asthma diagnosis. Therefore, it is not the correct answer.
10008093
d
Furosemide
QuestionChoice
Digoxin is a cardiac glycoside that increases the force of myocardial contraction and reduces conductivity within the atrioventricular (AV) node. It is not known to cause the symptoms described above and it is not contraindicated in asthma. Therefore, this is not the correct answer.
10008091
b
Digoxin
QuestionChoice
Propranolol is a non-selective beta-blocker. It can cause airway narrowing and lead to an acute exacerbation of asthma. This entirely accounts for this patient's presentation and is therefore the most likely medication to have been initiated in error. Beta-blockers are contraindicated in patients with a previous asthma diagnosis.
10008090
a
Propranolol
Concept
Chapter
2693
4566
Class II anti-arrythmics: Beta-blockers
Topic
169
Cardiovascular pharmacology
14165
A 55-year-old woman with a past medical history of asthma visits A&E with new-onset chest tightness, shortness of breath, and wheezing. She was recently started on a new medication for her heart.

Which of the following medications, if prescribed in error, could account for her symptoms?
a