Throbbing headache and dizziness

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Reference no: EM133758940

Question

A 45-year-old man comes to the office because of a throbbing headache and dizziness for the past few days. He visited the emergency department two months ago for sudden onset chest pain, which was adequately managed. The remainder of the review of systems is unremarkable. Past medical history is significant for type II diabetes mellitus and chronic angina. Current medications include metformin, atorvastatin, and isosorbide dinitrate. Family history is significant for myocardial infarction in his father. Temperature is 37.0°C (98.6°F), pulse is 90/min, respirations are 18/min, and blood pressure is 135/75 mmHg. Physical examination shows no abnormalities. Which of the following strategies will most likely improve this patient's symptoms? Elimination tool Tapering off nitrates Discontinuation of metformin Add-on therapy with PDE-5 inhibitors Intermittent therapy with nitrates Direct observed therapy.

Reference no: EM133758940

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