Which of the following is the most appropriate diagnostic intervention?


#1

A 50-year-old man is brought to the emergency department complaining of light-headedness. He has a history of lung cancer, which was diagnosed a month ago and found to be widely metastatic to the bone and pericardium. On physical examination, his blood pressure is 70/40 mm Hg, and his pulse is 100/min. His heart sounds are distant and soft. His ECG demonstrates low voltage, and electrical alternans is present. A chest x-ray film shows that the cardiac silhouette has a “water bottle” appearance.Which of the following is the most appropriate intervention in this patient?

  • A. Beta-blockers
  • B. Nonsteroidal anti-inflammatory drugs
  • C. Steroids
  • D. Pericardiocentesis
  • E. Cardiac catheterization

0 voters

A 62-year-old man Heavy smoker presents with chest pain. The pain occurs with mild exertion, but never at rest. He further states that when he gets the pain, it usually last about 5 minutes but goes away with rest. On physical examination, there is a carotid bruit is heard, and his dorsalis pedis pulses are decreased. His father having a myocardial infarction at age 56. Which of the following is the most appropriate diagnostic intervention?

  • A. Obtain a resting electrocardiogram
  • B. Schedule the patient for a cardiac echocardiogram
  • C. Schedule the patient for an exercise treadmill test
  • D. Schedule the patient for non-urgent coronary angiography
  • E. Schedule the patient for immediate coronary angiography

0 voters

A wife brought his husband who was not eating and drinking anything for 3 days with severe melancholic depression. What will you do next?

  • ECT approval from mental health tribunal
  • ECT approval under duty of care
  • ECT approval with consent from wife
  • ECT approval with consent of two doctors

0 voters

A wife brought his husband who was not eating and drinking anything with severe melancholic depression.H/O self harm for 3times,likes wrist injury,Neck injury.Now Suggests for ECT,but patient rufusing for ECT.He’s in ICU and now move to ward.What will you do next?

  • ECT approval from mental health tribunal
  • ECT approval under duty of care
  • ECT approval with consent from wife
  • ECT approval with consent of two doctors

0 voters