QuizMD has migrated to a new cloud server infrastructure thanks to the folks at Joyent. This means faster service for you! Thanks for bearing with us during the upgrades.
We've just launched some new features of QuizMD that help you track your progress and reward your contributions to the website. Log in and give it a try!
Thanks to our hard working student and physician contributors, QuizMD now has over 7000 questions in its database, constantly being refined and discussed to enhance your education. Keep up the good work!
We just recently optimized the way our question database is loaded, resulting in quizzes loading 4 times faster! More speed increases are on their way.
A 64 year-old man is brought to the emergency unit for severe chest pain that has been going on for about 40 minutes. The man is diaphoretic, pale an visibly in bad shape. However he is cooperative and well oriented. Emergency EKG is performed, which shows sinus tachycardia and left bundle-branch block. When comparing the actual EKG with past EKGs, you notice that there were no LBBB before. A chest x-ray has been performed and appears to be normal. Serum troponins and CK-MB are elevated and CK-MB/Total CK ratio is > 5%. The patient was administered sodium nitroprussiate, but the pain persisted. The patient is know for appendicectomy at age 15 and systemic hypertension for 20 years. His hypertension is treated with hydrochlorothiazide and propranolol, but he admits showing poor medical compliance. At that point, which of the following would be the least appropriate?