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Kaplan Qbank USMLE



Author7 Posts
  #1

A 22-year-old man with a known family history of hypertrophic obstructive cardiomyopathy (HOCM) presents to the emergency department with an episode of syncope while climbing the stairs to get to his third-floor apartment. He was started on a beta-blocker twelve months ago but continued to have symptoms of dyspnea and lightheadedness. Verapamil was added six months ago, but he still has had persistent symptoms. What would be the next best step in the management of this patient?

(A) Cardiac transplantation
(B) ACE inhibitors
(C) Electrophysiology studies
(D) Surgical myomectomy
(E) Injection of absolute alcohol into the myocardium

  #2

Cardiac transplant

  #3

D. Surgical myomectomy, alcohol injection should be in septal arteries, not myocardium.

  #4

sorry guys, ur both wrong..sad

its Injection of absolute alcohol into the myocardium,: as it induces focal necrosis in the septum & so it will loose some of its thickness..

I solved it like u Khorshid, this would be the correct answer if Injection of absolute alcohol into the myocardium was tried & still the case is refractory..


  #5

Where is this Q from?

___________________
Don't live in a town where there are no doctors

  #6

Justice wrote:
Where is this Q from?

Dr. Conrad Fischer_Questions

  #7

EE. Funny I just saw a report on the guy that invented this procedure







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