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A 36-Year-Old Female Is Conscious and Alert and Complaining of Palpitations

Question 1

Multiple Choice

A 36-year-old female is conscious and alert and complaining of palpitations. She denies chest pain, difficulty breathing, or loss of consciousness but becomes "dizzy" with exertion. She states that she has been experiencing agitation, insomnia, intolerance to heat, and weight loss. Physical exam reveals exophthalmos and an enlarged thyroid gland. HR = 142 and regular, BP = 110/70, RR = 14 and regular. Which of the following would be most effective in treating this patient?


A) 250 cc fluid challenge
B) 50 percent dextrose IV
C) Synchronized cardioversion
D) Propranolol

Correct Answer:

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