A 42-year-old m an cam e to the clinic for a follow-up visit 2 m onths after being diagnosed w ith..

A 42-year-old m an cam e to the clinic for a follow-up visit 2 m onths after being diagnosed w ith essential hypertension. Therapy w ith propranolol and hydrochlorotiazide was started at the tim e of diagnosis. His blood pressure rem ained poorly controlled, and he adm itted he had been taking the pills only once in a w hile, because of a disturbing adverse e ect. Which of the follow ing was m ost likely the e ect m entioned by the patient? a. Palpitations b. Sexual dysfunction c. Migraine headache d. Trem or e. Anginal pain

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