A 54-Year-Old Male with a Past Medical History of Type

question 1032

Multiple Choice

A 54-year-old male with a past medical history of type 2 diabetes mellitus comes to the emergency department complaining of shortness of breath.  His blood pressure is 146/92 mmHg, respiratory rate is 26/min, and oxygen saturation is 87% on room air.  Cardiac auscultation findings over the apex are given below.  Based on the physical findings, which of the following is the best initial therapy for this patient?

• A)Inhaled bronchodilators
• B)Intravenous beta-blockers
• C)Intravenous diltiazem
• D)Intravenous diuretics
• E)Pericardiocentesis

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