doc_clotaire
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You passed all your steps and you are doing your Residency in NY hospital in . A 50 yo woman come in the ER because of shortness of breath .Her has a RR of 32 x " , BP 140/ 90 Temp : 37.0 She also have a gallop and a murmur at the apex . Further exam shows maked jugular distention and bilateral rales to the apices . Her abodmen is soft and non tender and you also find edema in her extremities .
What drug would increase mortality in this patient .
a ) carvedilol
b ) captopril
c ) spirinolactone
d ) hydralazine
f ) amrinone
g ) milrinone
h ) hydroclorothiazide
i ) digoxin
k ) digitoxin
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| neuroblastoma
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B
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| robin082006
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Always pick ACEI first
Other choices may be Spironolactone and Carvedilol
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| doc_clotaire
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GUYS , PLEASE THE QUESTION STEM CAREFULLY !
YOUR ANSWERS ARE NOT RELATED TO WHAT THEY ARE ASKING YOU
PLEASE TRY AGAIN !
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| robin082006
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oh, increase mortality, this is Aminodarone
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| NE
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The choice is amrinone not amiodarane.
I guess it is d- hydralazine.
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| robin082006
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I read somewhere aminodarone and digoxin increase mortality of CHF.
There is no amonodarone in this question, so I go with Digoxin
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| robin082006
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I read somewhere aminodarone and digoxin increase mortality of CHF.
There is no aminodarone in this question, so I go with Digoxin
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| doc_clotaire
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No No , Try again !
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| young_doc
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Milrinone and other PDE inhibitors.
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| neuroblastoma
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G
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| doc_clotaire
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ANswer is : G
The morale of the story is :
Never give Milrinone to your heart faiure patient because It is more likely GONNA KILL THEM than making them live longer .
Never forget that Docs !
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