. A 65 year old male presents with dyspnea and palpitations. Examination: pulse 170bpm, BP
120/80mmHg. Carotid massage has been done as first instance. What is the next step of the
management?
- a. Adenosine
- b. Amlodipine
- c. DC cardioversion
- d. Lidocaine
- e. Beta blocker
0 voters
Ans. The key is A. Adenosine. [The likely diagnosis is SVT. 1st vagal maneuvers (carotid sinus massage,
Valsalva manoeuvre), if fails iv adenosine].
A 55 year old woman was found collapsed at home, paramedics revived her but in the
ambulance she had a cardiac arrest and couldn’t be saved. The paramedic’s report tells that the
woman was immobile lately due to hip pain and that they found ulcers on the medial side of
ankle. She had DM and was on anti-diabetics. What is the cause of her death?
- a. Acute MI
- b. DKA
- c. Pulmonary embolism
- d. Acute pericarditis
- e. Cardiac tamponade
0 voters
Ans. The key is C. Pulmonary embolism. [Immobilization due to hip pain may resulted in DVT and later
pulmonary embolism. Please note ulcer in medial side indicate undiagnosed DVT and its presence favour the presence of DVT and followed by pulmonary embolism].