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A 58-year-old woman is referred to the general internal medicine clinic for refractory hypertension. The patient does not know what medications she is taking.

A 58-year-old woman is referred to the general internal medicine clinic for refractory hypertension. The patient does not know what medications she is taking. A telephone call to her pharmacy reveals that her current medications are as follows: hydrochlorothiazide 25 mg PO daily amlodipine 10 mg PO daily metoprolol 75 mg PO twice daily ramipril 10 mg PO daily atorvastatin 20 mg PO daily Her BP is 162/92 mm Hg, and HR is 84 bpm and regular. You suspect medication non- adherence. 5a. List THREE potential reasons for medication non-adherence that you should explore in your discussion with the patient. (total marks, 3) 5b. List THREE medication-related changes that may improve this patient's medication adherence. (total marks, 3)

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