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MKSAP 17 Q&A
A 32-year-old woman is evaluated during a follow-up visit. She indicates that she and her husband are contemplating pregnancy, and she discontinued her oral contraceptive 2 months ago. Medical history is significant for hypertension, type 2 diabetes mellitus, and severe depression, which is currently in remission. Medications are lisinopril, metformin, atorvastatin, and sertraline. She does not smoke or use alcohol or illicit drugs. A normal Pap smear was obtained 1 year ago, no high-risk behaviors are identified, and her vaccinations are up to date.
On physical examination, blood pressure is 114/70 mm Hg. BMI is 24. The remainder of the examination is unremarkable.
A urine pregnancy test is negative.
Her lisinopril is discontinued, and she is started on a prenatal vitamin with folate.
Which of the following medications also needs to be discontinued?
A: Atorvastatin
B: Metformin
C: Sertraline
D: No additional changes needed