Which of the following is the drug of choice in patient with heart failure with a main symptom of rapid fatigue?

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Question 1 of 5

Which of the following is the drug of choice in patient with heart failure with a main symptom of rapid fatigue?

Correct Answer: A

Rationale: Enalapril, an ACE inhibitor, improves heart failure symptoms like fatigue.

Question 2 of 5

Atrial repolarization occurs during this period of time, seen on an ECG

Correct Answer: B

Rationale: Atrial repolarization coincides with the QRS complex, which represents ventricular depolarization.

Question 3 of 5

Vegetations on heart valves can be formed in all of these conditions except:

Correct Answer: D

Rationale: Crohn disease, an inflammatory bowel disease, does not cause valvular vegetations, unlike the others which involve endocarditis or immune-mediated valve damage.

Question 4 of 5

A 58-year-old smoker presents with weight loss and cough. Physical exam reveals a mild lid lag on the left and a pinpoint pupil, scattered rhonchi throughout all lung fields that clear with coughing, and an increased anteroposterior diameter. Based on these findings, you suspect the patient has:

Correct Answer: A

Rationale: A Pancoast tumor (apical lung cancer) causes Horner syndrome (lid lag, miosis), cough, weight loss, and may coexist with obstructive lung disease signs in a smoker.

Question 5 of 5

For a patient with COPD, angina, and hypertension prescribed Atenolol 100 mg PO, what adverse effect is the patient at risk for?

Correct Answer: C

Rationale: Atenolol is a cardioselective β1-adrenergic blocker that reduces blood pressure and could affect the β2-receptors in the lungs with larger doses or with drug accumulation.

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