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USLME Step 2 Review
Question #22 A 78 year old
male with a history
of diabetes, hypertension, dyslipidemia, and atrial fibrillation
presents to
the emergency room with complaints of nausea, vomiting, generalized
weakness,
and an episode of syncope. He states that he has had no appetite for 3
days
now. He was watching TV and passed out for about 2 minutes with some
preceding
dizziness. His temperature is 37.0, blood pressure 100/60, heart rate
50,
respirations 20, and oxygen saturation 95% on room air. Physical
examination
reveals clear lung sounds, an irregularly irregular, bradycardic rhythm
with no
murmurs, and no lower extremity edema. His laboratory studies reveal a
creatinine of 2.5 and a potassium of 6.1. Blood glucose is normal. His
ECG is
below. Which of the following would best aid in his diagnosis? 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9
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