doyoudig
Forum Guru
Topics: 144
Posts: 613
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An asymptomatic 57 y/o man come to the physician before begining a jogging program. He has a sedentary lifestyle and has smoked 2 packs of cigarretes daily for 30 years. His blood pressure is 150/88. Examination shows no other abnormalities. An EKG shows normal findings. His serum cholesterol level is 250. which of the following is the most appropriate next step in management?
a) referal to a supervised excersice program.
b) ambulatory blood presure montoring
c) ambulatory EKG monitoring
d) excersice stress test
e) Echocardiography
pls elaborate ur reaoning
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| elitoki
Forum Guru
Topics: 54
Posts: 508
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D.
after normal EKG with risk factor for CAD and pte is pretending joing exercise program need to be evaluated.
Also, he got serum cholesterol above 240, so LDL should be obtained.
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| liliaeliz
Forum Elite
Topics: 30
Posts: 284
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I agree
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| Ivonne
Forum Guru
Topics: 51
Posts: 1,394
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(D)
Exercise testing is indicated to evaluate patients with low risk or intermediate risk for coronary artery disease, including patients presenting to the emergency department with chest pain who remain pain-free during a period of observation and have normal cardiac enzyme levels.
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