Your-Doctor Multiple Choice Questions (MCQ)

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Category: Cardiology--->Arrythmias
Page: 7

Question 31#Print Question

An 18-year-old woman attends the ED with palpitations and dizziness. An ECG shows a broad complex tachycardia with an irregularly irregular rhythm and a ventricular rate of 160 bpm. Her BP is 88/60 mmHg but she has no chest pain or dyspnoea. She had been told several years earlier that she had a ‘Wolff–Parkinson–White ECG’ and offered ‘a procedure’ for this but declined. She has had no previous admissions to hospital and is on no regular medication.
What is the best treatment?

a. Adenosine IV
b. Verapamil IV
c. Amiodarone IV
d. Flecainide IV
e. DC cardioversion

Question 32#Print Question

Which of the following antiarrhythmic medications would be the best choice for treatment of a patient with atrial fibrillation (AFib) and significant renal insufficiency?

a. Propafenone
b. Sotalol
c. Dofetilide
d. Flecainide

Question 33#Print Question

Which of the following antiarrhythmic medications has active metabolites?

a. Amiodarone
b. Sotalol
c. Dofetilide
d. Flecainide

Question 34#Print Question

A patient arrives at the emergency department with symptomatic narrow complex tachycardia. The patient is hemodynamically stable. The decision is made to administer intravenous (IV) adenosine.

Under which of the following circumstances should the dosage of adenosine be reduced?

a. The patient is taking theophylline
b. The patient is taking dipyridamole
c. The patient has significant valvular regurgitation
d. The patient has a significant left-to-right shunt

Question 35#Print Question

Which of the following medications is contraindicated for use with dofetilide?

a. Digoxin
b. Diltiazem
c. Verapamil
d. Propranolol

Category: Cardiology--->Arrythmias
Page: 7 of 17