USMLE Step 1 - Question 14

A 61 year old female with a history of hypertension presents with jaundice and generalized fatigue. Her laboratory studies are below:

Serum

Na+ 144 mEq/L
K+  5.9 mEq/L
Cl-  101 mEq/L
HCO3-  25 mEq/L
Urea nitrogen   15 mEq/L
Cr  1.1 mEq/L
Indirect bilirubin 4.2 mEq/L
Hemoglobin 9.8 g/dL
Haptoglobin undetectable

Which of the following medications could potentially cause this patient’s presentation?

A.  lisinopril

B.  minoxidil

C.  clonidine

D. methyldopa

E.  valsartan

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