Diagnosing Chest Pains in a 49-year-old Male
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Questions and Answers

What is the most likely diagnosis for a 49-year-old man with transient chest pains during excessive physical exertion that go away on their own with rest, with no changes on the ECG?

  • Acute coronary syndrome
  • Stable angina pectoris functional class I (correct)
  • Acute myocardial infarction
  • Prinzmetal's angina

Which medication is considered reasonable for a 48-year-old man with coronary heart disease, angina pectoris, II functional class, and constant tachycardia with a heart rate up to 100 per minute?

  • Nitroglycerin under the tongue without restriction
  • Cardiket 20 mg 2 times a day
  • Bisoprolol 5 mg once a day (correct)
  • Atorvastatin 10 mg once daily

What is the most appropriate initial drug therapy for a 58-year-old patient with coronary heart disease, rhythm disturbances, and grade II arterial hypertension?

  • Diuretics
  • Beta-blockers (correct)
  • Calcium channel blockers
  • ACE inhibitors

What is the most appropriate medication for a 45-year-old patient with acute myocardial infarction and polytopic group of ventricular extrasystoles on the ECG?

<p>Lidocaine (C)</p> Signup and view all the answers

What is the correct scheme of drug therapy for a patient with heart failure?

<p>Diuretics + nitrates (A)</p> Signup and view all the answers

Which of the following medications is NOT typically used to treat coronary heart disease?

<p>ThromboAss (A)</p> Signup and view all the answers

What is the likely diagnosis in a patient with chest pain and fever seven weeks after acute myocardial infarction?

<p>Dressler's syndrome (B)</p> Signup and view all the answers

Which medication is preferred to reduce blood pressure in a patient with acute myocardial infarction and hypertension?

<p>Nitroglycerin and ACE inhibitors (C)</p> Signup and view all the answers

Which ECG sign is absolutely significant for acute myocardial infarction?

<p>QS combined with ST elevation (B)</p> Signup and view all the answers

A 68-year-old patient with grade III arterial hypertension is disturbed by dyspnea and palpitations at rest. What functional class of chronic heart failure does his condition correspond to?

<p>III functional class (A)</p> Signup and view all the answers

Which drug is inadvisable to use in an attack of Prinzmetal angina?

<p>Nifedipine (C)</p> Signup and view all the answers

What is the best medication combination to treat a patient with coronary heart disease and concomitant COPD?

<p>Nitrates and angiotensin receptor blockers (C)</p> Signup and view all the answers

What is the most effective drug for the treatment of ventricular paroxysmal tachycardia?

<p>Verapamil (C)</p> Signup and view all the answers

What is the most common complication in the first hours of acute myocardial infarction?

<p>Cardiogenic shock (C)</p> Signup and view all the answers

Which of the following drugs is a contraindication for patients with Raynaud's syndrome?

<p>Beta blockers (D)</p> Signup and view all the answers

What is the most likely diagnosis for a patient with dull, pressing pains in the chest, ST segment elevation during the attack, and episodic attacks lasting 10-15 minutes?

<p>Prinzemetal’s angina (C)</p> Signup and view all the answers

What is the most likely diagnosis for a patient with stitching pain in the heart area, palpitations, weakness, and a systolic murmur over the entire heart area?

<p>Pericarditis (D)</p> Signup and view all the answers

Which of the following medications can cause a dry cough?

<p>Captopril (C)</p> Signup and view all the answers

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