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Extra info for Update On Cardiovascular Disease - AFP
Sample text
C. ■ ✔ D. ■ A functioning thyroid nodule: Accumulates iodine. Synthesizes thyroid hormone. Is probably benign. Is under thyroid-stimulating hormone control. Answer: A, B, C, D Q4. Which is the most common arrhythmia causing death within the first hour of the onset of a myocardial infarction (MI)? ■ A. Ventricular tachycardia. ■ B. Pulseless electrical activity. ■ C. Asystole. ■ D. Ventricular fibrillation. ■ E. Atrial fibrillation with rapid ventricular response. Q5. A profoundly hypotensive patient presenting with new onset chest pain suggestive of MI should receive which of the following medications?
PVCs themselves are not a cause of mortality, unless they lead to sustained VT or VF. Clinically, one should look first for disorders associated with increased catecholamine levels, hypoxia, electrolyte abnormalities, drug toxicity, HF, and ischemia. These conditions should be corrected if they exist. If PVCs persist, Holter monitoring could be considered in an attempt to determine if more malignant forms are present. In the absence of underlying heart disease, PVCs, even if frequent, are generally benign and need not be treated.
E. Atrial fibrillation with rapid ventricular response. Q5. A profoundly hypotensive patient presenting with new onset chest pain suggestive of MI should receive which of the following medications? ■ A. Intramuscular injection of morphine. ■ B. Oral nitroglycerin. ■ C. 10-mg intravenous (IV) bolus of morphine sulfate. ■ D. 1 mg IV atropine. ■ E. 325-mg tablet of aspirin to be chewed and swallowed. Q6. In patients in whom the risk-benefit ratio is favorable, studies have confirmed that the treatment benefit for thrombolytic therapy may extend up to how long?