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|QuestionAuthor=Aarti Narayan MBBS, Raviteja Reddy Guddeti MBBS
|QuestionAuthor=Aarti Narayan MBBS, Raviteja Reddy Guddeti MBBS
|Prompt=A 65 yr old male patient with chronic renal failure with uremia, on dialysis, presents to the clinic with progressive shortness of breath for the past few months. He also complains of weakness, fatigue and weight gain. Physical examination shows an increased abdominal girth, bilateral pedal edema, hepatomegaly and an increase in jugular venous pressure on deep inspiration. Auscultation revealed an extra diastolic sound. Chest X-ray shows calcification in the precordial area, and EKG showed diffuse low voltage QRS complexes with flattened T waves. What is the best initial therapy in this patient?
|Prompt=A 65 yr old male patient with chronic renal failure with uremia, on dialysis, presents to the clinic with progressive shortness of breath for the past few months. He also complains of weakness, fatigue and weight gain. Physical examination shows an increased abdominal girth, bilateral pedal edema, hepatomegaly and an increase in jugular venous pressure on deep inspiration. Auscultation revealed an extra diastolic sound. Chest X-ray shows calcification in the precordial area, and EKG showed diffuse low voltage QRS complexes with flattened T waves. What is the best initial therapy in this patient?
|AnswerA=Beta blockers
|AnswerB=ACE inhibitors
|AnswerC=Diuretics
|AnswerD=Pericardiocentesis
|AnswerE=Pericardial resection
|Approved=No
|Approved=No
}}
}}

Revision as of 20:48, 12 February 2013

 
Author PageAuthor::Aarti Narayan MBBS, Raviteja Reddy Guddeti MBBS
Exam Type ExamType::
Main Category
Sub Category
Prompt [[Prompt::A 65 yr old male patient with chronic renal failure with uremia, on dialysis, presents to the clinic with progressive shortness of breath for the past few months. He also complains of weakness, fatigue and weight gain. Physical examination shows an increased abdominal girth, bilateral pedal edema, hepatomegaly and an increase in jugular venous pressure on deep inspiration. Auscultation revealed an extra diastolic sound. Chest X-ray shows calcification in the precordial area, and EKG showed diffuse low voltage QRS complexes with flattened T waves. What is the best initial therapy in this patient?]]
Answer A AnswerA::Beta blockers
Answer A Explanation AnswerAExp::
Answer B AnswerB::ACE inhibitors
Answer B Explanation AnswerBExp::
Answer C AnswerC::Diuretics
Answer C Explanation AnswerCExp::
Answer D AnswerD::Pericardiocentesis
Answer D Explanation AnswerDExp::
Answer E AnswerE::Pericardial resection
Answer E Explanation AnswerEExp::
Right Answer RightAnswer::
Explanation [[Explanation::

Educational Objective:
References: ]]

Approved Approved::No
Keyword
Linked Question Linked::
Order in Linked Questions LinkedOrder::