A 31-year-old woman presents to her family physician because a home pregnancy test was positive. Her last menstrual period was 6 weeks ago, the pregnancy was unplanned despite inconsistent condom use, and she wishes to continue it. She has chronic hypertension, moderate acne, and recurrent E. coli urinary tract infections (3 episodes in the past 12 months). Her medications are ramipril 10 mg PO daily, isotretinoin 40 mg PO daily (started 3 months ago), TMP-SMX 80/400 mg PO nightly for the past year, topical benzoyl peroxide, a prenatal multivitamin, folic acid 1 mg PO daily, and iron PO daily. She has no known drug allergies, and examination is otherwise unremarkable.
| Heart rate | 76/min |
| Respiratory rate | 14/min |
| Temperature | 36.8 °C |
| O2 saturation | 99%, room air |
| Blood pressure | 138/86 mm Hg |
Question 1 of 6
Which of the following medications should be discontinued at this visit?
Select 3. (0 / 3 selected)
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