Hypertension Treated in Medicine / Internal Medicine — 45yo Man | Infectious Diseases | SMLE Q#1083

SMLE Question #1083

Medicine / Internal Medicine Infectious Diseases
Last updated: February 2026
A 45-year-old man with hypertension treated with lisinopril and amlodipine has a recent proximal lower-limb deep vein thrombosis treated with warfarin with previously therapeutic INRs. He has 2 months of productive cough, intermittent low-grade fever, weight loss, and occasional hemoptysis. Examination shows crackles over the right upper lung field. He is diagnosed with pulmonary tuberculosis and started on rifampicin, isoniazid, pyrazinamide, and ethambutol. Which medication adjustment is most appropriate now?

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