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Review Question - QID 106889

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QID 106889 (Type "106889" in App Search)
A 41-year-old woman comes to the emergency room because she has been taking phenelzine for a few years and her doctor warned her that she should not eat aged cheese while on the medication. That night, she unknowingly ate an appetizer at a friend's party that was filled with cheese. She is concerned and wants to make sure that everything is all right. What vital sign or blood test is the most important to monitor in this patient?

Heart rate

4%

1/25

Oxygen saturation

0%

0/25

Creatine phosphokinase

0%

0/25

Blood pressure

84%

21/25

Temperature

8%

2/25

Select Answer to see Preferred Response

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This patient's blood pressure should be monitored because phenelzine is a monoamine oxidase inhibitor and can lead to a hypertensive crisis when taken with tyramine-containing foods such as cheese.

Phenelzine is a non-selective and irreversible monoamine oxidase inhibitor (MAOI); patients taking it should not consume large quantities of tyramine-containing foods (like aged cheese and cured meats) because the interaction can lead to a hypertensive crisis. MAOIs are a class of antidepressants and are primarily used to treat major depressive disorder.

Incorrect Answers:
Answers 1-3, 5: Taking phenelzine and eating aged cheese may inadvertently alter heart rate, oxygen saturation, creatine phosphokinase, and temperature but these are not the primary cause of morbidity and are less important to monitor.

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