clear1x1.gif
clear1x1.gif
clear1x1.gif
CardiologySite logo
Coronary Angio
Auscultation
Cardiology Quiz
Site Info
 
Home
 
Site Map

 

clear1x1.gif clear1x1.gif
Prior Page Question AQ 009 Next Page

   WJ is a 62 year old AA female with hypertension, Type II insulin-requiring diabetes mellitus, hyperlipidemia and chronic renal insufficiency. The patient was admitted to the ED with a 12 hour complaint of new onset intermittent rest and nocturnal angina. Her BP is 150/90 mm Hg, pulse is regular at 80/min and respirations are unlabored at 20/min. There is an S4 gallop at the apex. Lungs are clear, abdomen is unremarkable and there is no pitting edema.
The serum BUN/Cr are 36/2.4 mg/dl, while the remainder of the BMP is WNL. CBC is unremarkable and cardiac enzymes are negative. Chest x-ray shows an uncoiled aorta and no acute abnormality.
Her EKG demonstrated a sinus mechanism with 2 mm ST depression in the inferior and lateral leads:

Which of the following is not indicated in the management of this patient?

Prior Page Exit Next Page
©1999-2007, A.S.M. Systems, Inc. All Rights Reserved, including design and all contents that include graphics and animations.
clear1x1.gif
clear1x1.gif
clear1x1.gif