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	<owl:Ontology rdf:about="https://www.wikidoc.org/index.php/Special:ExportRDF/WBR0362">
		<swivt:creationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2026-07-31T07:51:16+00:00</swivt:creationDate>
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		<rdfs:label>WBR0362</rdfs:label>
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		<property:AnswerA rdf:datatype="http://www.w3.org/2001/XMLSchema#string">He can resume his sexual activity but should stop both nitrates and Sildenafil.</property:AnswerA>
		<property:AnswerAExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect''' There is no need to stop both Nitrates and Sildenafil.</property:AnswerAExp>
		<property:AnswerB rdf:datatype="http://www.w3.org/2001/XMLSchema#string">He can only resume sexual activity after 3 months of angioplasty</property:AnswerB>
		<property:AnswerBExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect''' He can resume sexual activity immediately if he does not have any symptoms now</property:AnswerBExp>
		<property:AnswerC rdf:datatype="http://www.w3.org/2001/XMLSchema#string">He can resume his sexual activity , and can take Sildenafil after 4 hours of taking nitrates</property:AnswerC>
		<property:AnswerCExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''Incorrect''' Sildenafil and Nitrates should never be combined</property:AnswerCExp>
		<property:AnswerD rdf:datatype="http://www.w3.org/2001/XMLSchema#string">He has to undergo Exercise stress testing again to check if he can resume his sexual activity</property:AnswerD>
		<property:AnswerDExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">'''incorrect''' Exercise stress testing is not needed at this point of time to resume sexual activity</property:AnswerDExp>
		<property:AnswerE rdf:datatype="http://www.w3.org/2001/XMLSchema#string">He can resume his sexual activity and should not combine Sildenafil and Nitrates</property:AnswerE>
		<property:AnswerEExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Patient can participate in sexual activity immediately post myocardial infarction if he is totally symptom free. Sildenafil and nitrates should never be combined as the risk of hypotension is greater.</property:AnswerEExp>
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		<property:Explanation rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Patient can participate in sexual activity immediately post myocardial infarction if he is totally symptom free. Sildenafil and nitrates should never be combined as the risk of hypotension is greater because both are vasodilators.

'''Educational Objective:''' Patients post myocardial infarction can resume sexual activity immediately if they are symptom free. Sildenafil and Nitrates should not be combined as the risk of hypotension is increased with the combination

'''References:''' Page 74 Master the boards Step 2 CK Second edition&lt;br/&gt;
'''Educational Objective:''' &lt;br/&gt;
'''References:'''</property:Explanation>
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		<property:PageAuthor rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Neeraja Danda M.B.B.S</property:PageAuthor>
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		<property:Prompt rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A 56 year old male presented to his physician’s office for his regular physical check up.He was discharged from the hospital one month  prior after undergoing angioplasty for Unstable angina. Now he is on Clopidogrel, atenolol, Lipitor , Lisinopril and Nitrates.Today he asks whether he can resume his sexual activity and how long he should wait between taking his Nitrates and Sildenafil.  What is your response?</property:Prompt>
		<property:RightAnswer rdf:datatype="http://www.w3.org/2001/XMLSchema#string">E</property:RightAnswer>
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		<swivt:wikiPageModificationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2020-10-28T00:18:37Z</swivt:wikiPageModificationDate>
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