will try my best
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Topics: 48
Posts: 524
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33. A 45-year-old woman comes to the emergency department because of shortness of breath,
chest pain, dizziness, and mild numbness and tingling around the lips for 2 hours. She says that she
feels like she is going to die. She had three similar episodes last week when she was vacationing at
the Grand Canyon; the first episode occurred while crossing a narrow bridge on a donkey. She takes
a hypoglycemic drug for type 2 diabetes mellitus, verapamil for hypertension, and sumatriptan as
needed for migraine. She is mildly diaphoretic and appears pale. Her blood pressure is 130/90 mm
Hg, pulse is 120/min, and respirations are 28/min. Serum glucose level is 120 mg/dL. An ECG
shows sinus tachycardia. Sublingual nitroglycerin therapy does not relieve her symptoms and gives
her a headache. The most appropriate next step in management is administration of wh
ich of the following?
A
) Haloperidol
B
) Lorazepam
C
) Oxygen
D
) Sumatriptan
E
)33. A 45-year-old woman comes to the emergency department because of shortness of breath,
chest pain, dizziness, and mild numbness and tingling around the lips for 2 hours. She says that she
feels like she is going to die. She had three similar episodes last week when she was vacationing at
the Grand Canyon; the first episode occurred while crossing a narrow bridge on a donkey. She takes
a hypoglycemic drug for type 2 diabetes mellitus, verapamil for hypertension, and sumatriptan as
needed for migraine. She is mildly diaphoretic and appears pale. Her blood pressure is 130/90 mm
Hg, pulse is 120/min, and respirations are 28/min. Serum glucose level is 120 mg/dL. An ECG
shows sinus tachycardia. Sublingual nitroglycerin therapy does not relieve her symptoms and gives
her a headache. The most appropriate next step in management is administration of wh
ich of the following?
A
) Haloperidol
B
) Lorazepam
C
) Oxygen
D
) Sumatriptan
E
)Verapamil
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| will try my best
Forum Guru
Topics: 48
Posts: 524
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Ans:B?
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99/99/cs passed/96/2007 grad/need visa/no USCE/no USLOR/no research
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| hero
Forum Guru
Topics: 42
Posts: 557
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by exclusion, the only one can be used for anxiety - lorazepam
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| liliaeliz
Forum Elite
Topics: 47
Posts: 429
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B
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