which antihypertensives is contraindicated in COPD

[Asclepius1]

A 57-year-old smoker with a long history of chronic obstructive lung
disease presents to the physician with a blood pressure of 150/95.
Which of the following antihypertensives is contraindicated in this
patient?

A. Acebutolol
B. Atenolol
C. Esmolol
D. Metoprolol
E. Nadolol

[pathologyguy]

A 57-year-old smoker with a long history of chronic obstructive lung
disease presents to the physician with a blood pressure of 150/95.
Which of the following antihypertensives is contraindicated in this
patient?

A. Acebutolol
B. Atenolol
C. Esmolol
D. Metoprolol
E. Nadolol

The one that is nonspecific to both Beta 1 and Bet 2. If you antagonize Beta 2 then you will cause bronchoconstrictor so you want to choose that as the bad guy.

Mnemonic for Beta 1- antagonist only. A BEAM

A- atenolol
B- bexolol
E- Esmolol
A- Acebutolol
M- Metoprolol

So the answer is E. Nadolol is non specific