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DrAlex_76
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Topics: 120
Posts: 410
09/21/08 - 10:09 AM       #1

An asymptomatic 57-year-old man comes to the physician before beginning a jogging program. He has a sedentary lifestyle and has smoked two packs of cigarettes daily for 30 years. His blood pressure is 150188 mm Hg. Examination shows no other abnormalities. An ECG shows normal findings. His serum cholesterol level is 250 mgfdL. Which of the following is the most appropriate next step in management?

O A) Referral to a supervised exercise program
O B) Ambulatory blood pressure monitoring
O C) Ambulatory ECG monitoring
O D) Exercise stress test
0 E) Echocardiography


Eagle_303
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Topics: 77
Posts: 655
09/21/08 - 10:21 AM       #2

Starting of Exercise program in high risk patient is one of indications of Exercise Stress test.

Best of luck


nightflight1945
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Posts: 920
09/21/08 - 01:07 PM       #3

D) Exercise stress test

IT IS INDICATED in asymptomatic patients in two occasions :

1-Starting a vigorous exercise program

2-for pilots


ngaybinhyen
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Posts: 657
09/21/08 - 01:48 PM       #4

1. Evaluation of persons with multiple risk factors as a guide to risk reduction therapy

2. Evaluation of asymptomatic men > 45 yr and women > 55 yr:
- plan to start vigorous exercise (especially if sedentary or DM) or
- involved in occupations in which impairment might impact public safety (pilots) or
- at high risk for CAD because of other diseases (peripheral vascular disease and chronic renal failure)

not indicated for other asymptomatic people as for no supportive evidence



Nightflight, we both answer the same for somebody about a month ago. smiling face nod

nightflight1945
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09/21/08 - 02:43 PM       #5

I think so ,

But I couldn't find it to insert the post here , so I rewrote it!grin


ngaybinhyen
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09/21/08 - 02:53 PM       #6

Cool smiling face

DrAlex_76
Forum Guru

Topics: 120
Posts: 410
09/21/08 - 03:34 PM       #7

awesome dudes










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