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 Pre-op work-up  



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Author8 Posts
  #1

A 35-year-old man with a 20-year history of type 1 diabetes mellitus is undergoing preoperative evaluation for renal transplantation. His clinical course has been complicated by hypertension, diabetic retinopathy, and peripheral neuropathy that limits his ability to walk. His blood pressure is 142/85 mm Hg. His LDL cholesterol is 140 mg/dL (3.62 mmol/L) and his HDL cholesterol is 30 mg/dL (0.78 mmol/L). He currently smokes a half of a pack of cigarettes daily. His electrocardiogram is shown . Medical consultation is requested for evaluation of his preoperative cardiovascular risk. EHG showed left ventricular hypertrophy and non-specific STTW changes



Which of the following is the most appropriate recommendation at this time?


A No further evaluation is needed B Serum C-reactive protein level C 24-hour electrocardiographic monitoring D Pharmacologic stress nuclear study E Coronary angiography




  #2

AAAAA,
what's the need to post same Q twice?


  #3

thanks justice


  #4

D?


  #5

c


  #6

I was going to change the question.

All the answers are wrong !!



  #7

E


  #8

correct





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