Medical Question of the Day- 20


A 78 year-old patient is admitted to the hospital for treatment of pneumonia. On the third day, the nurse noticed that his heart rate is 150/min. and blood pressure is 116/86 mmHg. The patient is stable with no chest pain or shortness of breath. His ECG shows saw tooth pattern with no other abnormalities.

What is the most appropriate next step of management of this patient?

A – Start heparin

B – Start metoprolol

C – Order cardiac enzymes

D – Perform electric cardioversion

E – Refer to a cardiologist

This patient has atrial flutter which is common in elderly hospitalized patients. He needs urgent rate control by metoprolol before conducting any further investigations.

The correct answer is B

Six answers are correct. Drawing is done and the winner is Kerolos.

Congratulations to the winner and good luck to the others in the next questions.

29 thoughts on “Medical Question of the Day- 20”

  1. Thank you Claudiu

  2. Thank you Rohini

  3. B. Start metoprolol.

  4. Thank you mutai

  5. Thank you Lubna

  6. Thank you Maria

  7. Thank you Ibrahim

  8. Thank you Peace

  9. Thank you Edson

  10. Thank you Muhammad

  11. Thank you Yousef

  12. This is Atrial flutter. He should be referred to a cardiologist. The answer is E.

  13. B

  14. Thank you Kerolos

  15. Thank you Innocentia

  16. Thank you Hari

  17. Thank you Jawed

  18. E. is the correct answer

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