Hydrochlorothiazide in Medicine / Internal Medicine — 36yo Woman | Cardiology | SMLE Q#12422

SMLE Question #12422

Medicine / Internal Medicine Cardiology

Objective: OBJ-163

Last updated: February 2026
A 36-year-old woman (G2P1) has chronic essential hypertension treated with hydrochlorothiazide and losartan. She has missed her last two menstrual periods and wishes to continue the pregnancy. She has no headache, visual symptoms, dyspnoea, oedema, abdominal pain, or vaginal bleeding. Physical examination is unremarkable. What is the most appropriate adjustment to her antihypertensive regimen?

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