A patient at a Christmas party on a cruise ship develops a terrible headache. His blood pressure is 224/158 mm Hg. Which of the following agents is this patient most likely taking regularly?
A. tricyclic antidepressants
B. barbiturates
C. benzodiazepines
D. monoamine oxidase inhibitors
E. phenothiazines
Answer: D, monoamine oxidase inhibitors
This is a typical scenario for MAOI induced malignant hypertension from eating the "wrong" foods, which are frequently found on a Christmas buffet, (cheese, sausages, red wine, etc).
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If you are studying for the PANCE or the PANRE I recommend these Review Books.