A 58-year-old man presents with a persistent dry cough for the past 8 weeks. He was started on ramipril 5mg OD for hypertension 3 months ago. Chest ex...

Question

A 58-year-old man presents with a persistent dry cough for the past 8 weeks. He was started on ramipril 5mg OD for hypertension 3 months ago. Chest examination is clear, and a chest X-ray is normal. What is the most appropriate next step?

Accepted Answer

Switch ramipril to an angiotensin II receptor blocker (ARB) like losartan

Answer

Add a proton pump inhibitor

Answer

Prescribe a codeine-based linctus

Answer

Refer for bronchoscopy

Answer

Start inhaled corticosteroids

mrcgp akt MCQ (SBA): ACE Inhibitor Cough

A 58-year-old man presents with a persistent dry cough for the past 8 weeks. He was started on ramipril 5mg OD for hypertension 3 months ago. Chest examination is clear, and a chest X-ray is normal. What is the most appropriate next step?