Question of the Week # 97

Q97) A 68 year old man with history of DM type II, Hypertension and severe osteoarthritis presents to your office with complaints of chest pain on exertion for past 3 months. He denies any pain now.  He smokes about one pack cigarettes per day. His only medications are Glyburide, Metprolol, Enalapril and Metformin. An EKG is obtained in the office and it reveals non-specific ST segment changes.  The patient is scheduled for Dipyridamole stress test .  The patient should be advised regarding which of the following:

A) Avoid Aspirin or NSAID for 24 hours prior to testing

B) Stop Metprolol 24 hours prior to tesing

C) Avoid Coffee or Caffeine for 24 hours prior to testing

D) Avoid smoking for one week prior to testing

E) Start inhaled Albuterol two days prior to testing

 

6 Thoughts on “Question of the Week # 97

  1. I think “Avoid caffeine” is the answer

  2. C.Caffenine blocks Adenosine Receptors & blunt the vasodilators properties of Caffeine-From Archer Lecture

  3. milan on June 22, 2011 at 2:45 am said:

    saju is correct 100%

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