Medicine Shelf Practice Questions - NBME Clinical Science Subject Exam Medicine Exam

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A 72-year-old man with ischemic cardiomyopathy has orthopnea, crackles, jugular venous distention, and leg edema. Oxygen saturation is 88% on room air. Chest x-ray shows pulmonary edema. What is the best initial treatment?

Intravenous furosemide with supplemental oxygen Large-volume normal saline bolus Immediate oral metoprolol uptitration Oral hydrochlorothiazide alone

Correct Answer:

Intravenous furosemide with supplemental oxygen

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