Repeated USMLE Questions Step 2- 475

by



Q- Which of the following drugs should NOT be initiated in case of acute decompensated heart failure?

A- Digoxin

B- Lisinopril

C- Metoprolol

D- Potassium supplements

C- Metoprolol- Beta blockers are successfully used later when heart failure is compensated and stroke volume improves. They can worsen decompensated cases by their inotropic effects.



Q- Which one of the following contraceptive methods is contraindicated in women with a history of deep venous thrombosis (DVT)?

A- Depo-Provera injections

B- Intrauterine contraceptive device (IUD)

C- Combined oral contraceptive

D- Norplant

C- Combined oral contraceptive- Estrogen is thrombogenic and should be avoided in this category.



Q- A 1-year-old boy with a diagnosis of stable small ventricular septal defect is scheduled for a dental procedure. Which of the following medications should be administered prior to this procedure?

A- Amoxicillin

B- Ampicillin

C- Azithromycin

D- No medication

D- No medication-  Recent recommendations of American Heart Association only require prophylactic antibiotics for cases of previous history of endocarditis, prosthetic valves, heart transplant patients and severe cyanotic heart diseases.



Leave a Comment