NBME 1-35 (cardio)

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NBME 1-35 (cardio)

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6 Posts

ts97
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Posts: 128

07/23/07 - 05:31 PM

A 72-year-old man comes to the physician because of a 6-month history of mild to moderate shortness of breath when climbing stairs. He had a myocardial infarction 2 years ago and has had an ejection fraction of 35% since then. His only medication is a b-adrenergic blocking agent. The lungs are clear to auscultation. Cardiac examination shows S4 gallop. There is no peripheral edema. Laboratory studies are within normal limits. An ECGs shows no acute changes. Which of the following is the most appropriate pharmacotherapy?

A) a-Adrenergic blocking agent
B) ACEI
C) Angiotensin2-receptor blocking agent
D) Nitrates
E) Thiazide diuretic

robin082006
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07/23/07 - 06:57 PM

B

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radonc
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07/23/07 - 10:22 PM

Agree B. ACE-i. For CCF.

dr in trouble
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07/24/07 - 06:31 PM

B

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Drtweetie
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07/25/07 - 04:24 PM

ACE I b/c systolic CHF

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doyoudig
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07/25/07 - 05:46 PM

B) ACEI - B/c CHF w/ Low E.E < 40%

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