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  1. #1
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    most likely preliminary diagnosis?

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    A 54-year-old man presents to the emergency department with palpitations and shortness of breath. His temperature is 37 C (98.6 F), blood pressure is 102/68 mm Hg, pulse is 130/min, and respirations are 26/min. His jugular venous pressure is elevated. Cardiac examination reveals an irregular rate and rhythm, with a low-pitched diastolic murmur, preceded by an opening snap, heard best over the apex. Lung examination reveals bibasilar crackles. There is also 2+ bilateral lower extremity edema. An electrocardiogram reveals an irregular undulation of the baseline, an absence of P waves, and narrow QRS complexes that are irregularly irregular.
    Which of the following is the most likely preliminary diagnosis?
    / A. Atrial arrhythmia
    / B. First degree atrioventricular block
    / C. Normal sinus rhythm
    / D. Third degree atrioventricular block
    / E. Ventricular arrhythmia
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    why even bother with the obvious. Just know where you are need it and where you can help the most.

  2. #2
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    Which of the following is the underlying cause of this patient's abnormal rhythm?
    / A. Aortic stenosis
    / B. Hyperthyroidism
    / C. Hypothyroidism
    / D. Mitral stenosis
    / E. Sepsis
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    why even bother with the obvious. Just know where you are need it and where you can help the most.

  3. #3
    rose.82 is offline Junior Member 510 points
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    Hello IMG SURVIVOR,

    I think the andswer A. Atrial arrhythmia and the Cause. Mitral stenosis

  4. #4
    smu05 is offline Permanently Banned 510 points
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    Again i agree it's Atrial arrythmia and mitral stenosis is the cause. Pls give us answer.

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