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A 75 years old woman who has recurrent angina is on GTN spray , aspirin, atorvastatin, enalapril and verapamil visited the clinic. On examination her BP was 130/80 mmHg and pulse was 60 bpm. To prevent the above problem what is your appropriate next management? [Common mcqs]
A 50 year old man develops dyspnea and leg edema, while he was on a business trip. He was told that he had congestive cardiac failure, but at the present asymptomatic, with normal vital signs and also the physical examination findings were normal . An echocardiogram shows an estimated ejection fraction of 38%. The patient likes to keep his medications to a minimum. He is currently on aspirin and simvastatin. Which would be the most appropriate additional treatment? [Common mcqs]
A 60 year old previously well male complained of progressive breathlessness, abdominal discomfort and edema of the legs. On examination there was a gross ascites, elevated JVP, bibasal crepitations and hepatomegaly. BP – 180/80 mmHg, RR-25/min, PR – 36 bpm. On ECG the heart rate is 96 bpm. What is the best management option? [Common mcqs]
54 y old man treated for heart failure, had SOB in exertion. Patient had a history of MI back. PR=80 regular, BP=130/90 mmHg. RS Ex normal. CXR-cardiomegaly he is on Furosemide 40 mg, Enalapril 10 mg. next drug? [Common mcqs]
35 year old male with a previous history of STEMI presented with SOB & ankle Oedema after 2 weeks. Echo showed scarring of the Left ventricle. What is the best drug with survival benefit for this patient? [Common mcqs]
A 25 yr. old male presents with a BP of 180/110 mmHg. WOTF investigations will help to find out a cause
[Common mcqs]
22 yr old girl with BP-160/100 mmHg. Which of the causes are correctly matched,
[Common mcqs]
Review of the patient’s medical records showed that her systolic blood pressure was greater than 140 mmHg at both of her last clinic appointments. Her medical history is otherwise significant only for diabetes mellitus. Today her blood pressure is 160/90 mmHg. What is the best next step in her blood pressure management?
[Common mcqs]
A 67 years old male patient presents to your clinic to establish primary care. He is asymptomatic and he has a history of hypertension for which he takes a thiazide. His father had a myocardial infarction at age of 62. The patient smoked until 5 years ago, but has been abstinent from tobacco since then. His blood pressure is 130/80 mmHg. Aside from being over-weight, the remainder of the physical examination is unremarkable. Which of
the following preventive health interventions would be most appropriately offered to him today [Common mcqs]
A 25 year old previously healthy school teacher underwent pre employment screening and found to have elevated blood pressure. Her blood pressure recording for 2 weeks in various occasions ranged from 160/90 to 170/90 mmHg. Her other examinations were normal what is the least Important preliminary Investigation? [Common mcqs]
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