1. What initial test should a provider order in a patient presenting with Vertigo?
Rheumatoid factor
2. Mr. D is a 56 year old male with newly diagnosed multiple myeloma who is admitted
through the ER with back pain after falling against a bookcase at home. Chest x-ray
shows a rib fracture. Electrolytes reveal a serum calcium of 12.7 mg/dl. How would you
treat Mr. D? Normal saline and loop diuretics
3. A 67-year-old male is brought to the emergency department after a syncopal episode. He
lost consciousness while shopping in the mall. He denies any nausea, diaphoresis, chest
pain, or shortness of breath. He has had two episodes of lightheadedness over the last
month but has not seen a doctor. His past medical history is significant for long-standing
hypertension, which is being treated with enalapril. His blood pressure is 135/90 mmHg
while supine, and 130/85 mmHg while standing His heat rate is 64/min ECG shows a
sinus rhythm with high voltage, prolonged PR interval, prolonged QRS interval, normal
QT interval and occasional premature ventricular contractions (PVC) E- chocardiography
reveals left ventricular hypertrophy and an ejection fraction (EF) of 55% Which of the
following is the most likely cause of this patient's syncope? Autonomic dydfunction
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