What is the therapeutic goal of beta-blocker therapy in heart failure?

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Question 1 of 5

What is the therapeutic goal of beta-blocker therapy in heart failure?

Correct Answer: C

Rationale: Beta-blockers reduce myocardial workload by lowering heart rate and oxygen demand.

Question 2 of 5

A 22 y/o female presents with irregular menses and breast discharge. She is fatigued with a 5 pound weight gain in 3 months. Thyroid is small without nodule. Heart is regular and lungs are clear. Prolactin= 44, TSH= 32, BHcg= negative, FSH is low. Which of the following medications should be initiated first?

Correct Answer: C

Rationale: The markedly elevated TSH indicates severe hypothyroidism, which should be treated with thyroxine replacement before addressing hyperprolactinemia.

Question 3 of 5

Mr. Gomez is asymptomatic with neuromuscular disorder and asks if he needs an ICD. Your recommendation would be:

Correct Answer: C

Rationale: In neuromuscular disorders, ICDs are recommended for primary and secondary prevention due to increased risk of sudden cardiac death, even if asymptomatic.

Question 4 of 5

Which of the following diets should be prescribed to a patient with Parkinson disease?

Correct Answer: A

Rationale: Low protein diets can enhance levodopa absorption in Parkinson's patients, improving motor symptom management.

Question 5 of 5

A 69 year-old woman with a 3 cm, lymph node negative, ER+ tumor

Correct Answer: C

Rationale: This patient has an estrogen receptor-positive (ER+) tumor, which is typically responsive to endocrine therapy (e.g., tamoxifen or aromatase inhibitors). Given her age and the tumor characteristics (3 cm, lymph node negative), endocrine therapy is a standard approach rather than immediate mastectomy, chemotherapy, or monitoring alone.

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