@freshmind1 - cardio69 - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 1 (https://www.usmleforum.com/forumdisplay.php?fid=2) +--- Thread: @freshmind1 - cardio69 (/showthread.php?tid=792325) Pages:
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@freshmind1 - cardio69 - ArchivalUser - 10-30-2014 You are correct on list of shock 72sec........... A 60 y/o has been diagnosed with CHF in which decrease contractility that leads to decrease EF which decreases EF lead to decease SV, which in that absence changes to heart rate cause the pat have decrease CO. She currently takes furosemide, hydralazine and lisinopril. Which of the following med should be added to improve pat symptoms and reduce her mortality in the long term? a) Tylenol b) Nitroglycerine c) Carvedilol d) Digoxin e) Amlodipine f) Verapamil 0 - ArchivalUser - 10-30-2014 c. Carvedilol according to what I learned from UW. 0 - ArchivalUser - 10-30-2014 Which of the following is correct regarding your pick ? a)Is a cardioselective B-blocker b)is safe for use in asthma patients c)has alfa1-blocking activity d)Is contraindicated in the treatment of stable chronic heart failure e)Decrease effects of your pick may occur if it is coadministered with P/gp inhibitors Try to ans 72 sec now I know u are there... 0 - ArchivalUser - 10-30-2014 carvedilol is a beta blocker- a. 0 - ArchivalUser - 10-30-2014 0 - ArchivalUser - 10-30-2014 Here is a Q Hy u should by heart for step 1 not "Carvedilol/Spironolactone to decrease progression" 0 - ArchivalUser - 10-30-2014 read last Q think & try again 0 - ArchivalUser - 10-30-2014 Sorry Cardio, my internet connection is slow. Can you please explain more? UW said Carvedilol is used to decrease progression of CHF and LV remodeling and also spironolactone does the same. 0 - ArchivalUser - 10-30-2014 @freshmind1 please try this q again ( lets understand the drug first BIG PIC before u go step CK/3 ) TRY AGAIN******************** Which of the following is correct regarding your pick ? a)Is a cardioselective B-blocker b)is safe for use in asthma patients c)has alfa1-blocking activity d)Is contraindicated in the treatment of stable chronic heart failure e)Decrease effects of your pick may occur if it is coadministered with P/gp inhibitors 0 - ArchivalUser - 10-30-2014 Which of the following is correct regarding your pick ? a)Is a cardioselective B-blocker---- It works on SA/AV so yes b)is safe for use in asthma patients BB shouldn't be used in asthma b/c they hide symptoms of hypoglycemia so no c)has alfa1-blocking activity BB increase a 1 activity so this isn't the answer d)Is contraindicated in the treatment of stable chronic heart failure Uw said it is used for CHF so... no :I e)Decrease effects of your pick may occur if it is coadministered with P/gp inhibitors I don't know what's P/gp is? |