Free Exam: Medicine97
Number of Questions in Test: 97
Number of Questions in Preview: 5
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A 48-year-old man is admitted to the coronary care unit with an acute inferior myocardial infarction. Two hours after admission, his blood pressure is 86/52 mmHg; his heart rate is 40 beats per minute with sinus rhythm. Which of the following would be the most appropriate initial therapy?
Type: | Multiple choice |
Points: | 1 |
Randomize answers: | No |
Question 2
A 68-year-old man with a history of hypertension, diabetes, and urinary retention awoke feeling nauseated and light-headed. He did not respond to questions from his wife. When the emergency medical technicians ar- rived, his blood pressure was 60 by palpation. IV fluids and oxygen were administered. Vital signs obtained in the ER were blood pressure 60, heart rate 120 and regular, temperature 38.9 C (102 F), and respiratory rate 30. A brief physical examination revealed coarse rales approx- imately halfway up in the chest bilaterally and inaudible heart sounds. An indwelling urinary catheter was placed with drainage of 10 to 20 mL of dark urine. Chest x-ray revealed bilateral interstitial infiltrates; ECG was unre- markable except for sinus tachycardia. Antibiotics were administered, and the patient was transferred to the ICU, where a right heart catheterization was performed. Pul- monary capillary wedge pressure was 28 mmHg. Cardiac output was 1.9 L/min. Right atrial mean pressure was 10 mmHg. The most likely cause of this man’s hypoten- sion was
Type: | Multiple choice |
Points: | 1 |
Randomize answers: | No |
Question 3
A middle-aged man who suddenly collapsed on the golf course is brought to the emergency department. The emergency medical technicians diagnosed cardiorespiratory arrest, performed CPR, applied a 200-J shock to the patient’s chest, and inserted an endotracheal tube and an intravenous line. At the time of arrival in the emergency room, the patient has no spontaneous pulse or respiration. After viewing the rhythm strip shown below, you order additional defibrillatory shocks: first 200 J, then 300 J, and finally 360 J. CPR is continued. Which of the following is the most appropriate drug to administer at this time?
[cmimg]0/6436366_5BNI80PA.jpg[/cmimg]
[cmimg]0/6436366_5BNI80PA.jpg[/cmimg]
Type: | Multiple choice |
Points: | 1 |
Randomize answers: | No |
Question 4
Which of the following statements concerning the use of captopril is true?
Type: | Multiple choice |
Points: | 1 |
Randomize answers: | No |
Question 5
Which of the following physical findings is associated with the chest x-ray shown below?
[cmimg]0/6436366_DNH5V0DY.jpg[/cmimg]
[cmimg]0/6436366_DNH5V0DY.jpg[/cmimg]
Type: | Multiple choice |
Points: | 1 |
Randomize answers: | No |