USMLE Forum Archives - USMLE Step 2 CK - psych
psych
Sarahhh - 05-06-07 22:00
A 67-year-old man comes to the physician because of insomnia, irritability, and palpitations for 3 months. He is currently taking amiodarone for cardiac arrhythmias, fluoxetine for depression, and enalapril for hypertension. His blood pressure is 130/70 mm Hg, and his pulse is 90/min and regular. Which of the following is the most appropriate next step?
A. Measurements of thyroxine and TSH
B. Administration of propranolol
C. Referral for psychiatric consultation
D. Substitution of antidepressant drug
E. Substitution of antihypertensive drug
Sarahhh - 05-06-07 22:00
A 67-year-old man comes to the physician because of insomnia, irritability, and palpitations for 3 months. He is currently taking amiodarone for cardiac arrhythmias, fluoxetine for depression, and enalapril for hypertension. His blood pressure is 130/70 mm Hg, and his pulse is 90/min and regular. Which of the following is the most appropriate next step?
A. Measurements of thyroxine and TSH
B. Administration of propranolol
C. Referral for psychiatric consultation
D. Substitution of antidepressant drug
E. Substitution of antihypertensive drug
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#4
Re: psych babbu5508 - 07-07-10 00:13 Amiodarone inhibits entry of T4 and T3 into the peripheral tissue. Serum T4 levels increase by an average of 40% above pretreatment levels after 1-4 months of treatment with amiodarone.
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