Heart Failure Clinical Reasoning Case Study-Mr. Kelly, 56 years old
M. H. developed 5/10 substernal chest pain (on a 0-10 pain scale) and shortness of breath. Substernal
pain is highly associated with CV events: True/False - (Answer)T
The patient is allergic to penicillin, she should not receive:
A. Amoxil (Amoxicillin)
B. Vancomycin
C. Cefepime (Maxipime)
D. Levofloxacin (Levaquin) - (Answer)A
Since she is allergic to Lisinopril, an alternative would be:
A. Atenolol (Tenormin)
B. Simvastatin (Zocor)
C. Amlodipine (Norvasc)
D. Losartan (Cozaar) - (Answer)D: ARBs are similar in mechanism of action to ACE inhibitors but w/o
side effects
T/F: Atrial fibrillation is a dysrhythmia with irregular rate and irregular rhythm. - (Answer)T
Atrial fibrillation puts the patient at risk for thrombosis. This risk can be prevented by taking what
medication? - (Answer)Warfarin (blood thinner)
T/F: The major pathology in atrial fibrillation (a fib) is that the SA node fires at a very fast pace. -
(Answer)T
M.H. has a laterally displaced point of maximal impulse. What is this a sign of? - (Answer)Enlargement
of the heart
M. H. developed 5/10 substernal chest pain (on a 0-10 pain scale) and shortness of breath. Substernal
pain is highly associated with CV events: True/False - (Answer)T
The patient is allergic to penicillin, she should not receive:
A. Amoxil (Amoxicillin)
B. Vancomycin
C. Cefepime (Maxipime)
D. Levofloxacin (Levaquin) - (Answer)A
Since she is allergic to Lisinopril, an alternative would be:
A. Atenolol (Tenormin)
B. Simvastatin (Zocor)
C. Amlodipine (Norvasc)
D. Losartan (Cozaar) - (Answer)D: ARBs are similar in mechanism of action to ACE inhibitors but w/o
side effects
T/F: Atrial fibrillation is a dysrhythmia with irregular rate and irregular rhythm. - (Answer)T
Atrial fibrillation puts the patient at risk for thrombosis. This risk can be prevented by taking what
medication? - (Answer)Warfarin (blood thinner)
T/F: The major pathology in atrial fibrillation (a fib) is that the SA node fires at a very fast pace. -
(Answer)T
M.H. has a laterally displaced point of maximal impulse. What is this a sign of? - (Answer)Enlargement
of the heart
