question: Q:A 47-year-old farmer presents to his primary care physician for the first time appointment. The patient has never seen a doctor and states that he is in good health. He has worked as a farmer for the past 30 years and has no complaints. His temperature is 98.9°F (37.2°C), blood pressure is 197/118 mmHg, pulse is 90/min, respirations are 14/min, and oxygen saturation is 98% on room air. Physical exam is notable for an obese man in no current distress. Laboratory values are seen below.
  
  Serum:
  Na+: 139 mEq/L
  Cl-: 101 mEq/L
  K+: 5.2 mEq/L
  HCO3-: 25 mEq/L
  BUN: 34 mg/dL
  Glucose: 179 mg/dL
  Creatinine: 2.1 mg/dL
  Ca2+: 10.2 mg/dL
  
  Which of the following is the best management of this patient's blood pressure?? 
  {'A': 'Carvedilol', 'B': 'Hydrochlorothiazide', 'C': 'Lisinopril', 'D': 'Metoprolol', 'E': 'Nicardipine'},