Question 2 · LEK · Hypertrophic cardiomyopathy
Which of the following medications should be avoided in the patient with hypertrophic cardiomyopathy, with left ventricular outflow tract peak instantaneous pressure gradient 35 mmHg (measured with Doppler echocardiography), left ventricular ejection fraction 52%, symptoms of heart failure NYHA class II and chest pain:
1) nonsteroidal anti-inflammatory drugs;
2) non-vasodilating beta-blockers;
3) non-dihydropyridine calcium channel blockers;
4) long-acting oral nitrates;
5) digoxin.
The correct answer is:
2) non-vasodilating beta-blockers;
3) non-dihydropyridine calcium channel blockers;
4) long-acting oral nitrates;
5) digoxin.
The correct answer is:
- A. 1,3,4.
- B. 1,4,5.
- C. 2,3,5.
- D. 4,5.
- E. only 5.
Hint
Think about which drugs increase a dynamic outflow gradient by lowering preload/afterload or by increasing contractility.
The answer, the explanation and a note on every option are available once you log in. The account is free: topic tests, a mock exam, mistake review and statistics.
More questions on Internal medicine
- The extra-articular manifestations in rheumatoid arthritis include:
- A 62-year-old patient with arterial hypertension and type 2 diabetes presents at his family doctor office because of a retrosternal stubbing pain…
- A 70-year-old patient, treated for arterial hypertension for over 30 years, called his family doctor because of lower limb edemas worsening for a…
- Non-cardiac conditions that predispose towards atrial fibrillation include:
- The abnormalities in ECG which are characteristic of hyperkalemia include:
- A decreased serum iron concentration can be found in: