Saturday, December 3, 2011

Cardiology Mcqs - Choose the Most Appropriate Treatment Option

A 58 year old man presents with acute breathlessness following a convulsion. On examining his blood pressure was 250/120 mmHg and fundal examination showed pailloedema with several haemorrhages and cotton wool spots. His urea, electrolytes and creatinine are normal but chest X-ray reveals pulmonary oedema and cardiomegaly. Which one of the following options is the most appropriate immediate treatment?



  1. Nifedipine LA 30 mg P/O
  2. Nifedipine 5 mg Sublingually
  3. Intravenous Sodium Nitroprusside
  4. Intravenous Labetalol
  5. Atenolol 50 mg P/O







ANSWER IS 3
Patient is suffering from Malignant hypertension. Sodium Nitroprusside is treatment of choice in this Condition.


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