USMLE Forum Archives - USMLE Step 2 CK - mcq
mcq
conym5 - 03-01-10 20:04
49-year-old woman comes to your office. She is currently in atrial fibrillation and is asymptomatic. Her rate is 70/min. She denies hypertension, diabetes, and congestive failure. There is no other past medical history. What is the most appropriate management of this patient?
conym5 - 03-01-10 20:04
49-year-old woman comes to your office. She is currently in atrial fibrillation and is asymptomatic. Her rate is 70/min. She denies hypertension, diabetes, and congestive failure. There is no other past medical history. What is the most appropriate management of this patient?
The correct answer and explanation will be available after you answer.
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#7
Re: mcq
mtniharika - 04-30-10 07:47 My answer is: d.
Atrial fibrillation patients usually also receive aspirin when treated in the emergency ward. The rapid irregular beating of the heart may dislodge small pieces of atherosclerotic plaque in people with heart disease and if these pieces of plaque get stuck in the narrow blood vessels in the brain a stroke may result. There is now compelling evidence that heart disease patients with atrial fibrillation can lessen their risk of a stroke significantly by taking an anticoagulant such as aspirin or warfarin on a regular basis
#9
Re: mcq
babbu5508 - 05-20-10 04:09 My answer is: a.
In atrial fibrillation, the chaotic rhythm may cause blood to pool in atria and form clots which could dislodge from the heart to your brain causing a stroke...prevented by warfarin and aspirin
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