Atrial Fibrillation – Management 2023 Guideline (1 to 9 of 15) 25 01 24

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1) In a 65-year-old patient with atrial fibrillation, what is used for rate control?

1 point

a. Catheter ablation

b. Immediate electrical cardioversion

c. Amiodarone

d. Beta-blockers

Clear selection

2) For a 60-year-old patient with persistent atrial fibrillation, what is commonly used for rhythm control?

1 point

a. Catheter ablation

b. Beta-blockers

c. Pharmacologic cardioversion with amiodarone

d. Lifestyle modifications and observation

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3) A 65-year-old patient with a history of hypertension and diabetes presents with palpitations and irregular heartbeats. On examination, an irregularly irregular pulse is noted. The ECG confirms atrial fibrillation. What is the most appropriate initial treatment for this patient?

1 point

a. Amiodarone

b. Warfarin

c. Metoprolol

d. Digoxin

Clear selection

4) In the management of atrial fibrillation presenting acutely without life-threatening hemodynamic instability, what is the most appropriate initial approach?

1 point

a. Administration of amiodarone for pharmacologic cardioversion

b. Initiation of anticoagulation with warfarin

c. Rate control with beta-blockers

d. Observation and lifestyle modifications

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5) What is the treatment of choice for AF with hypotension?

1 point

a. Electrical cardioversion

b. Beta blockers

c. Verapamil

d. IV Digoxin

e. Amiodarone

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6) A 45-year-old patient presents with atrial fibrillation and rapid palpitations. The patient is hemodynamically stable. What is the most appropriate indication for cardioversion in this patient?

1 point

a. First-line treatment for rhythm control

b. Symptomatic relief

c. Primary prevention of stroke

d. Control of ventricular rate

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7) A 31-year-old man presented with presyncope and coryzal symptoms. His BP is 100/70 mmHg. ECG showed irregular rhythm with absent ‘a’ wave. He was diagnosed with AF in the context of an intercurrent viral illness. What is the treatment?

1 point

a. Amiodarone

b. Verapamil

c. Beta blocker

d. Oral anticoagulation and cardioversion

e. Cardioversion

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8) A 50-year-old patient with persistent atrial fibrillation is being considered for pharmacologic cardioversion. The patient has no contraindications to antiarrhythmic drugs and has been informed about the procedure. Which medication is commonly used for pharmacologic cardioversion in atrial fibrillation?

1 point

a. Metoprolol

b. Amiodarone

c. Calcium‑channel blocker

d. Digoxin

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9) Mr. Ram came to medical OP with the complaint of palpitation. ECG showed AF with a ventricular rate of 150/minute. He was prescribed digoxin. One month later, he was seen in the OP again. At that time, he had a regular ventricular rate of 50 beats/minute. What is your diagnosis?

1 point

a. Digitalis intoxication

b. Acute myocardial infarction

c. Pulmonary embolism

d. Organophosphorus poisoning

e. Atropine poisoning

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