This is from my practice COMSAE I took recently. 1)Why perform a urine culture if the UA is negative for signs of infection + symptoms do not correlate to infection in a perimenopausal woman? I suspected overflow incontinence due to the anterior vaginal wall prolapse + decreased levator ani muscle tone 2) How to distinguish a vertebral compression fracture from pars interarticularis fracture 5) Narrowed it down to 2 options: when to suspect aspiration-associated cough vs oncologic cough

Is discontinuing lisinopril important in the context of an existing allergic reaction because ACE (-) can exacerbate symptoms?