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Week 6

 

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Quiz 6 Context:

A 43-year-old man is being seen at his primary care doctor's office for routine follow up when he begins to complain of epigastric and retrosternal discomfort, dizziness, and diaphoresis. He had similar, though less severe, symptoms the previous week.

The patient's medical history is significant for poorly controlled diabetes mellitus, hyperlipidemia, and hypertension. He smokes one pack of cigarettes per day.

The physical exam reveals a heart rate of 102 bpm, blood pressure of 160/90 mmHg, respiratory rate of 24/minute. A finger-stick blood sugar is elevated. The patient appears uncomfortable. The cardiac exam reveals tachycardia. Fine rales are present in the base of the lungs. The abdominal exam is normal.

The EKG is shown below.

This is most consistent with which of the following?

  1. Pericarditis
  2. Hyperkalemia
  3. Atrial Fibrillation
  4. Acute Myocardial Infarction
  5. Right Bundle Branch Block

 

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Center for Continuing Education | 9500 Euclid Avenue, KK31, Cleveland, OH 44195