jonathon Forum Senior
Topics: 25 Posts: 62
| | 01/15/06 - 06:20 PM  
 
|   #1 |
A 63 year old man presents to the emergency department with precordial chest pain. He states that the pain is often precipitated by stress or exertion and is generally relieved quickly by rest and/or nitrates. On examination, there is ECG evidence of ischaemia during stress testing. Angiography demonstrates the narrowing of several major heart vessels. Which of the following would be the most likely to worsen the patients angina? A. Acebutol B. Atenolol C. Metoprolol D. Nandolol E. Propanolol
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| Geroo Forum Guru
Topics: 114 Posts: 799
| | 01/15/06 - 06:22 PM  
 
|   #2 |
A. acebutol(intrensic sympathatic activity)
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| jonathon Forum Senior
Topics: 25 Posts: 62
| | 01/15/06 - 06:24 PM  
 
|   #3 |
Kool. Which textbook did you get that information from. I'd really appreciate it if you could guide me to a good text.Thanks..
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| Doc2378 Forum Guru

Topics: 46 Posts: 688
| | 01/15/06 - 06:44 PM  
 
|   #4 |
A. is correct Try Kaplan Pharm..its given in Kaplan...just a side note Pindolol also has ISA...so also avoid that in Angina
___________________ Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher
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| Doc2378 Forum Guru

Topics: 46 Posts: 688
| | 01/15/06 - 07:08 PM  
 
|   #5 |
Hey...to add to the list (someone else posted this in another Qs) B-blockers with ISA: Acebutolol Pindolol Penbutolol Carteolol Oxyprenolol
___________________ Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher
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| msyamp Forum Fanatic
Topics: 60 Posts: 1,462
| | 01/15/06 - 07:24 PM  
 
|   #6 |
http://www.prep4usmle.com/forum/thread/28137
___________________ If you think you can You can! If you think you cant you are right again!!
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| Doc2378 Forum Guru

Topics: 46 Posts: 688
| | 01/15/06 - 08:19 PM  
 
|   #7 |
Thanks MSYAMP...thats the thread where I got the info from!
___________________ Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher
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| mjl1717 Forum Hero

Topics: 959 Posts: 5,467
| | 01/16/06 - 05:32 AM  
 
|   #8 |
Some of these are kind of new. So for beta blocks with ISA remember PAPCO
___________________ Smell the coffee! "Is That an Osler move??"
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