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Old 10-03-2015
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Default Repeated USMLE Questions 123

A 62 year old woman visits her physician for a routine physical examination. She has a long history of arthritis in the back and she takes ibuprofen as needed. . She also takes levothyroxine for hypothyroidism. She exercises daily for 30 minutes and follows a regular diet. On examination her pulse is 45/min. Holter monitor reveals a regular pulse ranging from 40-80 pulse/min. Her thyroid-stimulating hormone is within normal limits.

What is the best management for this patient at this point?

A- Reassurance and follow up visits

B- Repeat Holter monitor examination

C- Perform exercise stress test

D- Pacemaker implantation

E- Refer to a cardiologist

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