Dip Int Med(SA) Practice Questions - Diploma In Internal Medicine Of The College Of Physicians Of South Africa Dip Int Med(SA) Exam

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A 58-year-old man with a history of long-standing hypertension presents to a district emergency unit with acute severe shortness of breath, orthopnoea, and pink frothy sputum. Blood pressure is 210/120 mmHg, heart rate 118 bpm, SpO2 82% on room air, and chest examination reveals bilateral extensive crackles to the mid-zones. What is the immediate first-line pharmacological treatment of choice?

IV Furosemide 40-80 mg bolus and sublingual/IV Nitroglycerin IV Digoxin 0.5 mg slow bolus and IV Amiodarone 300 mg Oral Amlodipine 10 mg and oral Enalapril 20 mg IV Adrenaline 1 mg bolus and IV Hydrocortisone 200 mg

Correct Answer:

IV Furosemide 40-80 mg bolus and sublingual/IV Nitroglycerin

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