Lippincott Q&A Medicine: Review for Clinical Rotations and by Mark D. Duncan, Lance W. Chapman, Minesh P. Shah, Veeral S.

By Mark D. Duncan, Lance W. Chapman, Minesh P. Shah, Veeral S. Sheth, Stanley Zaslau, Robert Casanova

Lippincott Q&A drugs focuses on high-yield info in particular designed that can assist you enhance your NBME topic examination rating. This first-of-its-kind source zeroes in on precisely what you want to recognize, utilizing tables, figures, mnemonics, and hundreds and hundreds of pattern questions in a concise, easy-to-read format—helping you're making the main of worthwhile research time!

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Sample text

Patients with new onset atrial fibrillation less than 48 hours can undergo cardioversion (low risk of stroke), but in patients with onset greater than 48 hours ago (this patient) there are two options: either the patient can have a transesophageal echocardiogram to rule out a left atrial thrombus before cardioversion, or they can start empiric anticoagulation for at least 3 weeks before cardioversion is attempted. After cardioversion is completed, all patients must have at least 4 weeks of anticoagulation unless there are serious contraindications.

Her ECG shows ST elevations in leads II, III, and aVF. Which of the following represents the immediate changes taking place?

40 An elderly man is hospitalized for chest pain and requires cardiac catheterization with placement of a stent. He recovers and is discharged. One month later, he presents to your clinic with a 1-week history of fever and stabbing chest pain. His vitals are within normal limits, and there is a scratching noise that is best heard at the left lower sternal border. What is the most appropriate treatment at this time? (A) (B) (C) (D) (E) Conservative management Ibuprofen Ceftriaxone, levofloxacin, and vancomycin Azithromycin Prednisone The answer is B: Ibuprofen.

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