Please use the following patient vignette to answer question…
Please use the following patient vignette to answer questions 39 – 40. Ms. White is a 17 year-old female brought to the ED complaining of shortness of breath and chest pain. Upon further questioning, her parents reveal that she has had dizzy spells after playing soccer and running track. Her father has diabetes and CAD, her mother was diagnosed with hypertrophic cardiomyopathy, and they state there has been sudden cardiac death in several relatives. Her HR is 110 bpm and her BP is 137/84 mmHg and her respiration rate is 18 breaths/min. 40. Your test of choice reveals the patient has hypertrophic cardiomyopathy. What is the best treatment plan for this patient?
Read Details31. A 62-year-old man with a history of coronary artery dise…
31. A 62-year-old man with a history of coronary artery disease is diagnosed with atrial fibrillation. Which of the following ECG findings would most likely be observed? Rate Rhythm A. No change Regular B. No change Irregular C. Decrease Regular D Decrease Irregular E. Increase Regular F. Increase Irregular
Read DetailsA 70-year-old woman presents with heavy, crushing chest pain…
A 70-year-old woman presents with heavy, crushing chest pain of 3-hour duration. The pain is exacerbated with exertion and resolves with rest. Past medical history is significant for type 2 diabetes. She has a 40-year history of smoking (2 packs per week). Current medications are metformin and canaglifozin (SGLT2 inhibitor) for management of her diabetes. Physical examination reveals an overweight individual with blood pressure 145/92 mm/Hg. The remainder of the examination is within normal limits. Laboratory studies are significant for severely depressed circulating HDL, increased total cholesterol and LDL, and mildly elevated triglycerides. ECG reveals T wave inversion, and serum Troponin is within the reference range. A full workup confirms a diagnosis of acute coronary syndrome. 11. Which of the following is the strongest risk factor for this patient’s illness?
Read DetailsA 55-year old man is being evaluated by a cardiologist for e…
A 55-year old man is being evaluated by a cardiologist for exertional angina and dyspnea. Past medical history is significant for poorly-controlled hypertension. Current medications are hydrochlorothiazide and Lisinopril (an ACE inhibitor). On physical examination, he is afebrile, blood pressure is 150/95 mm Hg, pulse is 90/min, and respiration rate is 16/min. Auscultation of the chest demonstrates a late-peaking systolic murmur at the upper sternal border and delayed carotid pulses. The lungs are clear. Laboratory studies are within normal limits, including troponin. The ECG reveals mild left ventricular hypertrophy, which is confirmed by echocardiography. 13. Which of the following is the most likely diagnosis?
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