Which of the following medication side effects is most likely responsible for this patient's complaints?


#1

33-year-old man comes to the physician reporting mild exertional shortness of breath and a “pounding” heart over the last 5

months. He is uncomfortably aware of his heartbeat while lying on his left side. Vital signs include blood pressure of 150/45 mm Hg

and pulse of 73/min. Which of the following is most likely responsible for his symptoms?

  • QA Aortic regurgitation
  • 0 B. Aortic stenosis
  • 0 C. Mitral stenosis
  • 0 D. Pulmonic regurgitation
  • 0 E. T ricuspid stenosis

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56-year-old man comes to the physician complaining of progressively worsening fatigue He has had difficulty concentrating and

has become increasingly forgetful over the past several weeks. He also complains of vague right upper-quadrant abdominal

discomfort and constipation. On review of systems, the patient reports having gained 6 pounds unintentionally over the last 3

months. His past medical history is significant for hypertension, nonischemic cardiomyopathy with left ventricular systolic dysfunction,

and persistent atrial fibrillation. Blood pressure is 140/90 mm Hg and pulse is 75/min. Lung fields are clear to auscultation. There is

no ankle edema. His skin appears dry. Laboratory results are as follows:

Sodium 142 mEq/L

Potassium 44 mEq/L

Chloride 98 mEq/L

Blood urea nitrogen 28 mg/dL

Creatinine 1.2 mg/dL

Glucose 100 mg/dL

Alkaline phosphatase 120 U/L

Aspartate aminotransferase 62 U/L

Alanine aminotransferase 74 U/L

Which of the following medication side effects is most likely responsible for this patient’s complaints?

  • QA Amiodarone
  • 0 B. Digoxin
  • 0 C. Dofetilide
  • 0 D. Hydralazine
  • 0 E. Metoprolol
  • 0 F Verapamil

0 voters