jessie1976318
Forum Junior
Topics: 24
Posts: 42
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1.A six-month-old child is being evaluated for a ventricular septal defect. Which of the following murmurs would you most expect on physical examination?
A. Continuous machine-like murmur
B. Crescendo–decrescendo systolic ejection murmur
C. Holosystolic murmur
D. Late diastolic murmur
E. Systolic murmur with a midsystolic click
2.A new patient presents to your office without complaints for a routine visit. This 50-year-old woman brought a list of medications to review with you. The medications include procainamide, propranolol, simvastatin, captopril, and sertraline. Which of the drugs taken by this patient can cause a lupus–like syndrome?
A. Captopril
B. Procainamide
C. Propranolol
D. Sertraline
E. Simvastatin
3You're working in a busy clinic, where an astute professor has been in for the third time with a blood pressure of 150–160/90–105. You correctly diagnose him with hypertension. He has no other diseases. What is the evidence-based drug of choice for primary hypertension in him?
A. ACE inhibitor or beta blocker
B. ACE inhibitor or diuretic
C. Calcium-channel blocker or ACE inhibitor
D. Calcium-channel blocker or beta blocker
E. Diuretic or beta blocker
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| naisarg
Forum Newbie
Topics: 6
Posts: 26
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for 1st one i m confused between C and D. ..which one is correct?
for 2nd one ans.is B-procainamide
for 3rd one ans.is A-ACE inhi.or B-blokers.
what r correct ans.?
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| Gul
Forum Elite
Topics: 9
Posts: 259
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1_C
2_B
3_B?
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| jessie1976318
Forum Junior
Topics: 24
Posts: 42
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answer:
1c
2b
3e( I don't know why either)
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| jessie1976318
Forum Junior
Topics: 24
Posts: 42
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add some information for q 3
obiviously, Ca chanel blocker and ACEI is more popularly used in clinical than diuretics and b-blocker. however, I saw before the diuretics should be considered to be the primary treatment for the mild patients. that might account for the answer.
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| Idiopathic
Forum Guru
Topics: 19
Posts: 641
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We really should know if he is overweight. You would rather give a CCB than a thiazide to a 45-year-old man with a BMI~22 who is relatively active...dont dehydrate those types.
I go with D.
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