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5692 Medicine

A 78-year-old woman is brought to the clinic by her daughter because she is concerned about her mother’s mood. The patient’s husband of 48 years passed away 6 months ago after a lengthy illness due to metastatic colon cancer. Since then she reports having a poor appetite, decreased interest in activities, and frequent thoughts about dying. She is started on nortriptyline to help improve her mood and functional status. Which of the following is the most common side effect of nortriptyline?

Aimpaired cardiac contractility
Bheart block
Cweight loss
Danticholinergic side effects
Medicine
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5696 Medicine

Choose the TRUE/FALSE statements regarding cardicac conduction functions: a) The SA node is composed of a cluster of small fusiform cells in the sulcus terminalis at the right atrial-superior vena caval junction b) The SA nodal aery arises from the right coronary aery in 20 % and the left circumflex aery in 80 % of persons c) SA node dysfunction may be completely asymptomatic d) Almost all patients with SA node dysfunction develop supraventricular tachycardia, usually atrial fibrillation or atrial flutter e) Failure to increase the hea rate with exercise is referred to as chronotropic incompetence

Aa,b,c,d,e-True & None-False
Ba,e-True & b,c,d-False
Ca,c,e-True & b,d-False
Db,c,d-True & a,e-False
Medicine
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