Question

A 45-year-old woman presents with a 6-week history of persistent dry cough. She was started on ramipril for hypertension 8 weeks ago. Chest X-ray is normal. What is the most appropriate next step?

Accepted Answer

Stop ramipril and consider an angiotensin II receptor blocker (ARB)

Answer

Prescribe a cough suppressant

Answer

Refer for bronchoscopy

Answer

Start empirical inhaled corticosteroids

Answer

Reassure and review in 4 weeks

Practice question

A 45-year-old woman presents with a 6-week history of persistent dry cough. She was started on ramipril for hypertension 8 weeks ago. Chest X-ray is normal. What is the most appropriate next step?