Gingival enlargement can be expected in all of the following patients EXCEPT:

 # Gingival enlargement can be expected in all of the following patients EXCEPT:

A. A patient who has undergone kidney transplant

B. A patient with COPD

C. An epileptic patient

D. Patient on antihypertensive therapy

The correct answer is B. A patient with COPD.

Gingival enlargement is a well-known consequence of the administration of some anticonvulsants (epileptic patient), immunosuppressants (organ transplant recipient), and calcium channel blockers (antihypertensive). The condition may create speech, mastication, tooth eruption, and aesthetic problems.  

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