USMLE Forum Archives - USMLE Step 2 CK - cvs
cvs
conym5 - 03-28-10 09:07
38-year-old female presents to the emergency room with palpitations and lightheadedness of acute onset. Her blood pressure is 110/80 mmHg and heart rate is 120/min, irregular. Physical examination reveals lid lag and fine tremor of the outstretched hands. ECG shows atrial fibrillation with rapid ventricular response. What is the next step?
conym5 - 03-28-10 09:07
38-year-old female presents to the emergency room with palpitations and lightheadedness of acute onset. Her blood pressure is 110/80 mmHg and heart rate is 120/min, irregular. Physical examination reveals lid lag and fine tremor of the outstretched hands. ECG shows atrial fibrillation with rapid ventricular response. What is the next step?
The correct answer and explanation will be available after you answer.
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#3
Re: cvs
conym5 - 03-30-10 14:59 lid lag and fine tremor of the outstretched handswith ECG shows atrial fibrillation,most like hyperthyroidism..Propranolol is the 1st step..
#17
Re: cvs mtniharika - 04-30-10 08:59 My answer is: e.
reduce the ventricular rate by using beta-blockers like propranolol in a case of thyroid induced atrial fibrillation..
#19
Re: cvs babbu5508 - 05-20-10 15:19 My answer is: e.
the patient is suffering from hyperthyroidism with atrial fibrillation...the next step would be reducing the ventricular rate by beta blockers like propranolol
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