USMLE forum
 
USMLE Forum
Step 1
Step 2 CK
Step 2 CS
Matching & Residency
Step 3
Classifieds
 
Archives
 
 
  <<   < *  Step 3   *  >   >>  

* q?????????
 #835342  
  nivia1997 - 12/27/16 11:40
 
  A 55-year-old patient of yours presents for routine follow-up of CHF. An echocardiogram done 6 months
ago showed a left ventricular ejection fraction of 20%. He feels quite well, has unlimited exercise tolerance
while exercising on flat ground, and has dyspnea only with climbing more than two flights of stairs.
His current regimen is enalapril, 40 mg/day, and furosemide, 40 mg b.i.d. On physical examination, his
blood pressure is 135/80 mm Hg, his pulse is 88 beats/min, and his respirations are normal. The rest of
his examination is remarkable only for moderate obesity and 1+ pretibial edema. He has heard that medications
called beta blockers could be helpful for people with heart trouble and wonders if he should be
taking them.
Which of the following statements regarding beta-blocker use is true?
❏ A. Beta blockers are contraindicated in patients with CHF
❏ B. Beta blockers are contraindicated in this patient because his ejection
fraction is so severely diminished
❏ D. Beta blockers are not indicated in this patient because his blood pressure
is already well controlled
❏ E. Beta blockers are not indicated in this patient because his CHF is well
controlled by his current therapy
❏ F. Beta blockers are indicated in this patien
 
Report Abuse

 
 

* Re:q?????????
#3322235
  lifesaverdr - 12/28/16 08:29
 
  F BB selective Meto. Succ indicated 2/2 decrease mortality class 1 indication, unless there is strong compelling indication like severe COPD even then we can us non-selectives BB  
Report Abuse

          Page 1 of 1          

[<<First]   [<Prev]  ... Message ...  [Next >]   [Last >>]

 
Logon to post a new Message/Reply
 
 
 
 

 

 

Google
  Web USMLEforum.com
 

Step 1 Step 2 CK Step 2 CS Matching & Residency Step 3 Classifieds
LoginUSMLE LinksHome