Free Atrial Fibrillation Pharmacotherapy Quiz by Eric Christianson | Nov 22, 2025 | 0 comments 1. Atrial Fibrillation Case Question 1 J.S. is a 72-year-old male who presents to the emergency department complaining of palpitations, lightheadedness, and mild shortness of breath for the past 24 hours. His past medical history includes hypertension, heart failure with preserved EF (HFpEF), type 2 diabetes, and hyperlipidemia. He drinks alcohol socially and admits to “a few extra drinks” at a wedding the night before. Vital signs: HR: 142 bpm, irregular BP: 132/76 mmHg RR: 18/min O2 sat: 98% on room air EKG: Atrial fibrillation with rapid ventricular rate (RVR) Labs: SCr: 1.4 mg/dL (CrCl ≈ 48 mL/min) K: 3.3 mEq/L Mg: 1.6 mg/dL A1c: 7.1% AST/ALT: WNL The patient is hemodynamically stable. The cardiology team wants to control the rate and start stroke-prevention therapy. Which medication would be most appropriate to initiate? Metoprolol Amiodarone Amlodipine Adenosine None 2. Atrial Fibrillation Case Question 2 J.S. is a 72-year-old male who presents to the emergency department complaining of palpitations, lightheadedness, and mild shortness of breath for the past 24 hours. His past medical history includes hypertension, heart failure with preserved EF (HFpEF), type 2 diabetes, and hyperlipidemia. He drinks alcohol socially and admits to “a few extra drinks” at a wedding the night before. Vital signs: HR: 142 bpm, irregular BP: 132/76 mmHg RR: 18/min O2 sat: 98% on room air EKG: Atrial fibrillation with rapid ventricular rate (RVR) Labs: SCr: 1.4 mg/dL (CrCl ≈ 48 mL/min) K: 3.3 mEq/L Mg: 1.6 mg/dL A1c: 7.1% AST/ALT: WNL The patient is hemodynamically stable. The cardiology team wants to control the rate and start stroke-prevention therapy.What is the CHADS2Vasc Score? 2 3 4 5 None 3. Atrial Fibrillation Case Question 3 J.S. is a 72-year-old male who presents to the emergency department complaining of palpitations, lightheadedness, and mild shortness of breath for the past 24 hours. His past medical history includes hypertension, heart failure with preserved EF (HFpEF), type 2 diabetes, and hyperlipidemia. He drinks alcohol socially and admits to “a few extra drinks” at a wedding the night before. Vital signs: HR: 142 bpm, irregular BP: 132/76 mmHg RR: 18/min O2 sat: 98% on room air EKG: Atrial fibrillation with rapid ventricular rate (RVR) Labs: SCr: 1.4 mg/dL (CrCl ≈ 48 mL/min) K: 3.3 mEq/L Mg: 1.6 mg/dL A1c: 7.1% AST/ALT: WNL The patient is hemodynamically stable. The cardiology team wants to control the rate and start stroke-prevention therapy. What is the most appropriate oral anticoagulation therapy for this patient? Apixaban 2.5 mg BID Apixaban 5 mg BID Rivaroxaban 10 mg BID Warfarin to a goal INR of 2.5-3.5 None 4. Atrial Fibrillation Case Question 4 J.S. is a 72-year-old male who presents to the emergency department complaining of palpitations, lightheadedness, and mild shortness of breath for the past 24 hours. His past medical history includes hypertension, heart failure with preserved EF (HFpEF), type 2 diabetes, and hyperlipidemia. He drinks alcohol socially and admits to “a few extra drinks” at a wedding the night before. Vital signs: HR: 142 bpm, irregular BP: 132/76 mmHg RR: 18/min O2 sat: 98% on room air EKG: Atrial fibrillation with rapid ventricular rate (RVR) Labs: SCr: 1.4 mg/dL (CrCl ≈ 48 mL/min) K: 3.3 mEq/L Mg: 1.6 mg/dL A1c: 7.1% AST/ALT: WNL The patient is hemodynamically stable. The cardiology team wants to control the rate and start stroke-prevention therapy.What electrolyte would be important to assess if digoxin is utilized? Sodium Calcium Chloride Potassium None 5. Atrial Fibrillation Case Question 5 J.S. is a 72-year-old male who presents to the emergency department complaining of palpitations, lightheadedness, and mild shortness of breath for the past 24 hours. His past medical history includes hypertension, heart failure with preserved EF (HFpEF), type 2 diabetes, and hyperlipidemia. He drinks alcohol socially and admits to “a few extra drinks” at a wedding the night before. Vital signs: HR: 142 bpm, irregular BP: 132/76 mmHg RR: 18/min O2 sat: 98% on room air EKG: Atrial fibrillation with rapid ventricular rate (RVR) Labs: SCr: 1.4 mg/dL (CrCl ≈ 48 mL/min) K: 3.3 mEq/L Mg: 1.6 mg/dL A1c: 7.1% AST/ALT: WNL The patient is hemodynamically stable. The cardiology team wants to control the rate and start stroke-prevention therapy.Which of the following is a possible complication with the use of metoprolol? Acute exacerbation of tachycardia Masking of hypoglycemia Worsening of low magnesium Actue renal failure None Name Email Time's up Submit a Comment Cancel replyYour email address will not be published. Required fields are marked *Comment * Name * Email * Website Δ This site uses Akismet to reduce spam. Learn how your comment data is processed.
