This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Hematology and CVS, Subject name: Pharmacology
[{'content': 'In which of the following patients would enalapril be the best first line agent for high blood pressure control? \nSelect and explain. \nA. A 62 year old man with renal aery stenosis, B. A 32 year old pregnant female, C. A 41 year old woman with hyperkalemia, D. A 56 year old diabetic woman', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Enalapril ACE inhibitor. Lowers the risk of Diabetic nephropathy Prodrug which is conveed to Enalaprilat, its active form. This active form is also available as a intravenous formulation. It is given when oral drug is contraindicated. It is also used in hypeensive urgencies ACE inhibitors are contra-indicated in: Bilateral renal aery stenosis Pregnancy Hyperkalemia.', 'role': 'assistant'}]