Pulmonary edema in acute CHF exacerbation after 100% O2 therapy - ANSWER - IV
furosemide
supraventricular tachycardia with HR=160 bpm with p-wave preceding all QRS sinus
rhythm - ANSWER - Vagal manuevers first -carotid massage, then valsalva , then
pharmacological-CCBs or adenosine
Asymptomatic aortic stenosis - ANSWER - Hydrocholorothiazide to reduce preload
Hypertension with underlying diabetes type 2 - ANSWER - ACE-inhibitor or ARB
Syncope with normal vitals and no previous episodes - ANSWER - Check the
electrolytes and medications - thiazide diuretics can cause hypokalemia and arrythmia
PR interval=o.3 sinus rhythm normal - ANSWER - Nothing, no management needed;
PR>0.2 is first degree heartblock
A-fib secondary to hypertension for >48 hours - ANSWER - Diltiazem; rate control +
anticoagulant
A patient presents with hypertension and chest pain on exertion - ANSWER - IV
nitroglycerin for lowering the blood pressure
Palpitations with underlying lung disease i.e. COPD - ANSWER - 72 hr Holter monitor
Angina symptoms - ANSWER - Beta-blockers - they increase the threshold of angina
Posterior anterolateral MI and Percutaneous coronary intervention - ANSWER -
Clopidogrel
teenage patient grunting and blinking many times a day for at least 1 year - ANSWER -
haloperidol
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