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  #1  
Old 09-25-2012
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Default Cardiology questions

The response options for the next 2 items are
the same. Select one answer for each item
in the set.

For each of the following patients with fatigue, select
the most appropriate pharmacologic intervention.
(A) Candesartan
(B) Digoxin
(C) Erythropoietin
(D) Folate
(E) Heparin
(F) Isoniazid
(G) Lisinopril
(H) Metoprolol
(I) Warfarin

1. A 36-year-old woman at 18 weeks’ gestation
presents with a chief complaint of fatigue. Her
history is signifi cant for leukemia 7 years earlier
that was treated successfully with a course
of doxorubicin chemotherapy. On physical examination
she has bilateral rales throughout
her lung fi elds and 3+ pitting edema. Echocardiography
reveals a dilated left ventricular
chamber and an ejection fraction of 40%.

2.A 75-year-old retired anesthesiologist with a
history of two previous myocardial infarctions
presents because of extreme fatigue upon exertion.
He is unable to walk more than two
blocks and requires three pillows to sleep comfortably
at night. Physical examination reveals
jugular venous distension. He has previously
been unable to tolerate enalapril due to excessive
coughing.
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Old 09-25-2012
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digoxin

candesartan
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Old 09-25-2012
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(G) Lisinopril

(A) Candesartan
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Old 09-25-2012
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Quote:
Originally Posted by Novobiocin View Post
(G) Lisinopril

(A) Candesartan
Sir......the lady's pregnant
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Old 09-25-2012
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Quote:
Originally Posted by K06100 View Post
Sir......the lady's pregnant
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  #6  
Old 09-25-2012
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DIgoxin for the first one

Candersartan for the second one

Novo wtf the lady is pregnant, you just causes renal agenesis XD
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Old 09-25-2012
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metoprolol is the answer for the first ques.....it has mortality benefit......digoxin lacks it......

for 2nd answer is ARB
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  #8  
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Very true, my bad... BB must be given, thanks K06100
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  #9  
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hey ya sorry abt that bb is definitely preferred
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