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QUIZ 2
1. An 50 y.o. male arrives the ER, complaining about chest pain for the last 8 hours, which of
the following tests should be done to rule out ACS ?
A. Serial E.C.G and Cardiac enzymes
B. Serial E.C.G, Cardiac enzymes, and Cardiac stress test
C. Serial E.C.G, Cardiac enzymes, and Chest XR
D. Serial E.C.G, Cardiac enzymes, and Echocardiography.
?What is not part of initial evaluation of patient with newly diagnosed HTN .6
.A E.C.G
B. Echocardiography
C. Creatinine clearance
D. BP measurement on both hands
E. ABI = Ankle Brachial Index
89. A patient with COPD, CHF, and Chronic renal failure is admitted to your ward with
worsening dyspnea and orthopnea of 2 days. Which of the following would not help in
establishing the diagnosis?
A. D-dimmer
B. pro-BNP
C. Troponin
D. CRP
9. Which of the following physical finding is not associated with worse prognosis?
A. S3
B. S4
C. Basilar rales
D. Holo-systolic murmur
______________ :Name
10. A patient arrives the ER with palpitation and dyspnea. The patient BP is 100/70, Sat – 94%.
The following ECG is obtained. What is your initial treatment?
A. Cardioversion (synchronized, 100j)
B. Adenosine
C. Amiodarone
D. Digoxine
11. Which of the following drugs for A. Fib affects the rhythm, rather than rate?
A. Digoxin
B. Ca+2 blocker
C. Beta-blocker
D. Amiodarone
12. A 72 y.o. woman is admitted to the ER with dyspnea, and no chest pain. The patient is known to
suffer from CHF, HTN and ESRD, with hemodialysis. Her vitals are: HR-110, BP-170/100, RR-
30, Sat-88%. The patient is diagnosed with pulmonary edema. Which of the following is not
essential pert of her treatment:
A. Nitrate
B. Furosamide
C. O2
D. Aspirin
E. Morphine
13. A 45 y.o. woman is admitted because of dyspnea. She is otherwise healthy. Her ABGs are as
followed: pH – 7.47, pCO2 – 30, pO2 – 50, Sat – 87%, HCO3 – 22. Chest XR was normal. ECG
is unremarkable, except for tachycardia. What's your diagnosis?
A. Respiratory acidosis d/t hyperventilation
B. Metabolic acidosis (d/t hypoxia and tissue ischemia) with respiratory compensation.
C. Respiratory alkalosis (d/t hyperventilation), compensated by metabolic acidosis.
D. Metabolic alkalosis, with concomitant respiratory alkalosis.
Match the patient with your initial choice for anti-hypertensive drug?
A. D.A.S.H diet and exercise
B. Enalapril
C. Bisoprolol
D. Disothiazide