EMED EOR Practice Questions- Cardiology | 100% Correct Answers | Verified | Latest 2024 Version

A 72 year old male with new dx of congestive heart failure and atrial fibrillation develops episodes of hemodynamic compromise secondary to increased ventricular rate. A decision to perform elective cardioversion is made and the patient is anticoagulated with heparin. Which test should be ordered to assess for atrial or ventricular mural thrombi? A. Electrocardiogram B. Chest XR C. Transesophageal echocardiogram D. C-Reactive protein - C. Transesophageal Echocardiogram A 74 year old pt presents with signs and symptoms of heart failure. EKG shows the patient to be in atrial fibrillation at a rate of 80 bpm. BP is 120/76. The patient denies complaint of palpitations, chest pain or syncope. Which of the following is the most important long term therapy in this patient? A. Verapamil B. Amiodarone C. Furosemide D. Warfarin - D. Warfarin A 29 year-old male presents with complaint of substernal chest pain for 12 hours. The patient states that the pain radiates to his shoulders and is relieved with sitting forward. The patient admits to recent upper respiratory symptoms. On examination vital signs are BP 126/68, HR 86, RR 20, temp 100.3 degrees F. There is no JVD noted. Heart exam reveals regular rate and rhythm with no S3 or S4. There is a friction rub noted. Lungs are clear to auscultation. EKG shows diffuse ST segment elevation. What is the treatment of choice in this patient? A. Pericardiocentesis B. Nitroglycerin C. Percutaneous coronary intervention D. Indomethacin (Indocin) - D. Indomethacin