Audio Qbank – Q21 – A 72F with an abnormal ECG

 

A 72-year-old woman is brought to hospital two hours after developing shortness of breath with exertion. She has a history of ischemic heart disease. Her vitals are: temperature 99.0F, HR 120, RR 16, BP 110/60. An ECG shows absent P-waves. Intravenous dofetilide is administered. Seven minutes later, an ECG shows sinus rhythm. This patient is at greatest risk for which of the following adverse drug effects within the next several hours?

  Delta-waves
  PR-interval >200 ms
  Flattened T-waves + U-waves
  Tented T-waves
  Sinusoidal rhythm

 

Cut-to-the-chase Answer (0:38):
HY USMLE Answer (3:41):