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Review Question - QID 212738

Atrioventricular (AV) Heart Block Atrioventricular (AV) Block AV Blocks Types Electrocardiogram Findings Treatment   Comments First degree AV block ↑ PR interval (> 0.2 secs) 1:1 ratio of P waves and QRS complexes No treatment is required unless other ECG changes (prolonged QRS)   Typically s QID: 212738 (M2.OMB.19.4755)
In scope icon M 7 B
QID 212738 (Type "212738" in App Search)
A 60-year-old man presents to the emergency department after falling off a ladder while painting his house. The patient is concerned that he may have broken his elbow but otherwise feels well. He states that he began to feel lightheaded just prior to falling. He has a past medical history of hypertension and diabetes. His temperature is 99.2°F (37.3°C), blood pressure is 140/96 mmHg, pulse is 42/min, respirations are 17/min, and oxygen saturation is 100% on room air. Physical exam is notable for a small bruise over the patient’s left elbow, and a radiograph of the elbow reveals no fracture. Jugular-venous distention is noted with jugular-venous pulsations. An electrocardiogram is obtained as shown in Figure A. Which of the following is the best next step in management?
  • A
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  • A