A 56 year old man was recently put on anti-hypertensive medications and recent biochemistry on 2 occasions showed

A 60 year old lady has severe chest pain. ECG shows changes of inferior wall MI. ECG also shows
progressive prolongation of PR interval until a QRS complex is dropped. What is the most
probable diagnosis?

  • a. Atrial fibrillation
  • b. VT
  • c. SVT
  • d. Mobitz type I 2nd degree heart block
  • e. Mobitz type II 2nd degree heart block

0 voters

Ans. The key is D. Mobitz type I 2nd degree heart block. [Inferior MI is frequently associated with
conduction defect].

A 56 year old man was recently put on anti-hypertensive medications and recent biochemistry
on 2 occasions showed: Na+ 132, K+ 7.6, Urea 11.3, Creatinine 112. Which of the following drugs
is responsible for this result?

  • a. Amlodipine
  • b. Bendroflumethiazide
  • c. Doxazosin
  • d. Atenolol
  • e. Ramipril

0 voters

Ans. The key is E. Ramipril. [ACEI and ARB are known to raise the serum potassium level].