A 55-year-old man presents with a persistent dry cough for the past 3 months. He denies fever, weight loss, haemoptysis, or shortness of breath. He ha...

Question

A 55-year-old man presents with a persistent dry cough for the past 3 months. He denies fever, weight loss, haemoptysis, or shortness of breath. He has a history of hypertension treated with ramipril 10mg OD for the past 6 months. Chest examination and chest X-ray are normal. What is the most appropriate next step?

Accepted Answer

Trial stopping ramipril and consider an alternative antihypertensive

Answer

Empirical trial of a proton pump inhibitor (PPI)

Answer

Referral for spirometry

Answer

Prescribe a cough suppressant (e.g., codeine linctus)

Answer

Referral to respiratory medicine

mrcgp akt MCQ (SBA): ACE Inhibitor Cough