USMLE Forum Archives - USMLE Step 3 - IM5
IM5
bingousmle - 06-20-10 05:54
A 58-year-old man presents to the ED with progressive dyspnea over the course of 1 week. Upon arrival, he is able to speak in full sentences and states that he stopped taking all of his medications recently. Initial vitals include a HR of 92 beats per minute, a BP of 180/100 mm Hg, and an RR of 16 breaths per minute with an oxygen saturation of 94% on room air.
Upon physical examination, the patient has bibasilar crackles, jugular venous distention, and pedal edema. Which of the following medication regimens was the patient most likely on?
a. Loop diuretic only
b. Aspirin only
c. Loop diuretic and β-blocker
d. Calcium channel blocker
e. Loop diuretic, β-blocker, and angiotensin-converting enzyme (ACE) inhibitor
bingousmle - 06-20-10 05:54
A 58-year-old man presents to the ED with progressive dyspnea over the course of 1 week. Upon arrival, he is able to speak in full sentences and states that he stopped taking all of his medications recently. Initial vitals include a HR of 92 beats per minute, a BP of 180/100 mm Hg, and an RR of 16 breaths per minute with an oxygen saturation of 94% on room air.
Upon physical examination, the patient has bibasilar crackles, jugular venous distention, and pedal edema. Which of the following medication regimens was the patient most likely on?
a. Loop diuretic only
b. Aspirin only
c. Loop diuretic and β-blocker
d. Calcium channel blocker
e. Loop diuretic, β-blocker, and angiotensin-converting enzyme (ACE) inhibitor
The correct answer and explanation will be available after you answer.
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#3
Re: IM5 babbu5508 - 06-20-10 14:10 My answer is: e.
patient has bibasilar crackles, jugular venous distention, and pedal edema are a clue to the diagnosis...and he is probably on combination antihypertensives
#15
Re: IM5 mockingbird - 06-30-11 12:26 My answer is: e.
I think this patient has Congestive Heart Failure.
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