A 43-Year-Old Man Comes to the Emergency Department Due to a 3-Day

question 457

Multiple Choice

A 43-year-old man comes to the emergency department due to a 3-day history of persistent headaches.  The patient has a history of hypertension and has had poor medical follow-up.  Blood pressure is 224/115 mm Hg and pulse is 67/min.  He appears mildly confused during the physical examination, but no focal neurologic deficits are noted.  Funduscopic examination shows bilateral papilledema.  Serum creatinine is 1.4 mg/dL.  An intravenous medication is initiated that causes arteriolar dilation while also improving renal perfusion and increasing natriuresis.  Which of the following agents is most likely being used in this patient?

• A)Esmolol
• B)Fenoldopam
• C)Hydralazine
• D)Nitroglycerin
• E)Phenylephrine

---

Definitions:

Antibiotics

Medications used to treat bacterial infections by either killing bacteria or inhibiting their growth.

Socially Optimal Level

The most efficient allocation of resources that maximizes societal welfare, often referenced in discussions of public goods and externalities.

Subsidize

The act of providing financial assistance or support, often by a government to industries, businesses, or individuals, to encourage production, reduce prices, or promote economic goals.

Government

The organization, or agency through which a political unit exercises authority and performs functions and which is usually classified according to the distribution of power within it.