Pharmacology · single question

What is the mechanism of action of Lisinopril?

  1. Blocks aldosterone receptors to flush water and sodium
  2. Inhibits ACE, preventing conversion of angiotensin I to angiotensin II
  3. Blocks beta-adrenergic receptors to reduce heart rate
  4. Directly dilates arterioles by blocking calcium channels
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Correct answer: B. Inhibits ACE, preventing conversion of angiotensin I to angiotensin II

Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor. Its mechanism of action is to block ACE, the enzyme that converts angiotensin I (an inactive peptide) to angiotensin II (a potent vasoconstrictor). By preventing angiotensin II formation, lisinopril causes vasodilation and reduces aldosterone secretion, thereby lowering blood pressure and reducing cardiac workload. A common side effect relevant to dentistry is a dry, persistent cough (due to bradykinin accumulation) and rarely angioedema. The original option stating 'inhibits conversion of angiotensinogen' was factually incorrect—ACE converts angiotensin I to angiotensin II, not angiotensinogen.

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