Question 17

17.  Which of the following is not a cause of secondary hypertension?

A.  Pheochromocytoma
B.  Porphyria
C.  Hypothyroidism
D.  Cyanide Poisoning

Answer 16

16.  Choice D is the correct answer.  A new onset left bundle branch block with chest pain is a STEMI until proven otherwise.  Defibrillation is only appropriate for ventricular tachycardia, ventricular fibrillation, and unstable narrow complex tachycardia.  Pacer is appropriate for sick sinus syndrome and third degree AV block.  This is not an RSR' pattern seen with pulmonary embolus.

Question 16

16.  Your patient is a 62 year old female that presents with chest pain and diaphoresis.  Her EKG is below?  Which of the following is the best management option?

A.  Immediate defibrillation
B.  Order a CT scan of the Chest with IV contrast for PE
C.  Arrange for immediate pacer
D.  Consult cardiology and recommend immediate cardiac catheterization