A 50-year-old female with a history of hypertension presents with palpitations. Her ECG shows irregularly irregular rhythm with no discernible P waves. What is the most likely diagnosis?

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100 Questions on the Cardiovascular System Questions

Question 1 of 5

A 50-year-old female with a history of hypertension presents with palpitations. Her ECG shows irregularly irregular rhythm with no discernible P waves. What is the most likely diagnosis?

Correct Answer: A

Rationale: The absence of P waves and an irregularly irregular rhythm are hallmark features of atrial fibrillation.

Question 2 of 5

Opioids are often utilized in patients in palliative settings. Which side effect is generally associated with their use in this patient population?

Correct Answer: C

Rationale: Nausea is a common opioid side effect due to central nervous system and gastrointestinal effects. Opioids typically cause constipation (not diarrhea), sedation (not vigilance), and may relieve dyspnea in palliative care.

Question 3 of 5

If aseptic meningitis due to HSV is suspected, empiric therapy with which antimicrobial is indicated?

Correct Answer: B

Rationale: Acyclovir is the antiviral of choice for herpes simplex virus (HSV) meningitis because it effectively inhibits viral replication in this context.

Question 4 of 5

You are treating a 66-year-old man with stable angina with a statin, a b-blocker, a diuretic, and an ACE inhibitor. His BP is 130/82 mmHg and his heart rate is 64 beats/min. He generally feels fine; however, he has started to play golf since his retirement 4 months ago and his knee osteoarthritis is more apparent now. Which ONE of the following treatment recommendations would you suggest for this patient?

Correct Answer: B

Rationale: Acetaminophen is safer in patients with cardiovascular risk factors and does not exacerbate hypertension or renal dysfunction compared to NSAIDs.

Question 5 of 5

Group II synovial fluid is typical of which condition?

Correct Answer: D

Rationale: Group II synovial fluid is inflammatory and typically seen in conditions like rheumatoid arthritis or other inflammatory arthritides, making 'Inflammatory arthritis' the correct choice.

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