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A 65-Year-Old Eastern European Immigrant Visits the Doctor with a Four-Week

Question 477

Multiple Choice

A 65-year-old Eastern European immigrant visits the doctor with a four-week history of low-grade fever, multiple joint pains, and a well-demarcated erythematous rash on his face and trunk. The patient denies having hair loss, mucosal ulcers, or being photosensitive. His serum test results show the presence of anti-nuclear antibody (AN A) in extremely high titers. The patient reports having had coronary artery disease, congestive heart failure, and "cardiac rhythm abnormalities" in the past. This patient should be specifically questioned about the intake of which of the following medications?


A) Amiodarone
B) Propranolol
C) Lidocaine
D) Procainamide
E) Verapamil
F) Adenosine

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