A 60 years old man with severe hypertension presents with a history of palpitations complains of a painful big toe that appeared overnight abruptly-UKMLA PLAB AMC USMLE Prometric MCQ

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A 60 years old man with severe hypertension presents with a history of palpitations complains of a painful big toe that appeared overnight abruptly

on Thursday, December 15, 2011

Question Number 1121
Question:
A 60 years old man with severe hypertension presents with a history of palpitations complains of a painful big toe that appeared overnight abruptly. On physical examination his blood pressure was 190/125. Upon review of his ECG it was found that he has an atrial tachycardia.
What is the most appropriate treatment for this patient

a) Propranolol and hydrochlorothiazide
b) Propranolol and furosemide
c) Propranolol and enalapril
d) Verapamil and furosemide
e) Verapamil and hydrochlorothiazide