#june2020mccqe1
A 60-year-old man who has enjoyed good health complains of increasing breathlessness, abdominal discomfort and swelling of the feet for 3 weeks. His venous pressure is elevated, the liver is enlarged and there is gross ascites. The resting respiratory rate is 25/min and there are basal crepitations. The pulse rate is 36/min and an ECG shows an atrial rate of 96/min. The blood pressure is 180/80 mmHg. Which of the following is the most effective immediate treatment?
(A) intravenous frusemide
(B) intravenous frusemide plus digoxin
(C) intravenous digoxin
(D) abdominal paracentesis
(E) insertion of a transvenous pacemaker
A 60-year-old man who has enjoyed good health complains of increasing breathlessness, abdominal discomfort and swelling of the feet for 3 weeks. His venous pressure is elevated, the liver is enlarged and there is gross ascites. The resting respiratory rate is 25/min and there are basal crepitations. The pulse rate is 36/min and an ECG shows an atrial rate of 96/min. The blood pressure is 180/80 mmHg. Which of the following is the most effective immediate treatment?
(A) intravenous frusemide
(B) intravenous frusemide plus digoxin
(C) intravenous digoxin
(D) abdominal paracentesis
(E) insertion of a transvenous pacemaker
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