Medical MCQ
MCQ Ebook
Biochemistry
Microbiology
Pathology
MCQ Subjects
Anaesthesia
Anatomy
Biochemistry
Dental
ENT
Forensic Medicine
Gynaecology & Obstetrics
Medicine
Microbiology
Ophthalmology
Orthopaedics
Pathology
Pediatrics
Pharmacology
Physiology
Psychiatry
Radiology
Skin
Social & Preventive Medicine
Surgery
Others
MCQ Exam
Anaesthesia
Anatomy
Biochemistry
Dental
ENT
Forensic Medicine
Gynaecology & Obstetrics
Medicine
Microbiology
Ophthalmology
Orthopaedics
Pathology
Pediatrics
Pharmacology
Physiology
Psychiatry
Radiology
Skin
Social & Preventive Medicine
Surgery
Others
All MCQs
Term Of Use
Privacy Policy
Contact Us
About Us
Home
Ebooks
Questions
Search
Medicine
A 55-year-old man presents with gradually increasing shortness of breath and leg swelling over the past month. He has also noticed orthopnea and paroxysmal nocturnal dyspnea. He takes simvastatin for hypercholesterolemia and hydrochlorothiazide for hypertension. Blood pressure is 140/90 mm Hg; there is mild jugular venous distension, soft bibasilar crackles, an S3 gallop, and minimal pedal edema. An echocardiogram shows left ventricular ejection fraction (LVEF) of 40% without segmental wall-motion abnormality. The patient desires to keep medications to a minimum What change in his management would you recommend at this time?
Add spironolactone
Add an ACE inhibitor and a beta-blocker
Add digoxin
Add a calcium-channel blocker
Questions
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100