MEQ Session 4: CLA Question A
Question 1: Mr Tan Ah Kow 48 yo Chinese Male, Smoker 20 pack year, PMHX Peptic ulcer disease. No history of DM/ HTN/ Hyperlipidemia. No family history of early Coronary Artery disease. Now presents with chest pain for last 2hours. Here is his ECG. Which of the following will be the most appropriate course of action
Q2: Coronary angiogram is being performed. Patient not to be hypotensive BP 85/40, HR 48. Which of the following is the most appropriate
Q3 Patient successfully underwent PCI to proximal RCA lesion. Ward team has decided to screen for T2DM. Which of the following confirms the diagnosis based on local guidelines?
Q4 Mr Tan AH was found to be a newly diagnosed Diabetic. LDL Screened 2.6 He is hemodynamically stable HR 70 BP 145/ 75. He is about to be discharge. TTE was done- EF 45% no valvular lesions. He is currently already on DAPT with PPI and SL GTN PRN. Which of the following combinations would be the optimal medication combination
Q5. Mr Tan AH is being discharged. All the following discharge advice should be given except...
Another patient......Q6. Mdm Tan AH, 40 yo Chinese female. Past Medical history of hypertension/ hyperlipidemia. Non smoker, no DM/ family history of early CAD . Now presents with Chest pain. First onset of chest pain at walking up stairs, lasting for 30s, improved with rest. Second episode occurred while walking TV, lasting 1hour. Improved with deep breathing exercises. She does not have any history of reduce effort tolerence, no cough, no trauma or recent heavy lifting, no GER symptoms. Examination of her precordium was normal. No tenderness to palpation of chest pain. Serial cardiac enzyme and ECG shows LVH pattern. Diagnosis
Q7 . Mdm Tan AH, 40 yo Chinese female. Past Medical history of hypertension/ hyperlipidemia. Non smoker, no DM/ family history of early CAD . Now presents with Chest pain. ECG shows LVH pattern with st-e, cardiac enzymes normal What would you proceed to do
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