01-11-2016, 04:01 PM
A 35 y/o female presents to the ER with a 30 minutes Hx of severe headache, palpitations, abdominal pain, nausea and vomiting. She had similar episodes twice during the last month but those were not so severe and resolved spontaneously in 30- 40 minutes. She visited a doctor recently and HTN with elevated urinary vanillylmandelic acid level was diagnosed. She is not taking any medications and denies substance abuse. Her B.P. is 200/130, HR 130/min. She appears frightened. Physical exam reveals hand tremors and excessive sweating. Slow IV infusion of propranolol is started while waiting for a routine labs. What is the most probable reaction to the Tx given to the pt?
A-B.P will slowly decrease
B-B.P will rapidly decrease
C-Heart rate will increase
D-Heart rate will not change
E-B.P will rapidly increase
A-B.P will slowly decrease
B-B.P will rapidly decrease
C-Heart rate will increase
D-Heart rate will not change
E-B.P will rapidly increase
Thanks