Question 14

14.  You are evaluating a patient in your office for palpitations.  You obtain an EKG and find out the patient is in A-Fib with RVR at a rate of 120.  What is the best management option in this situation?

A.   Start the patient on digoxin, teach the patient how to check there pulse and see the patient next week.

B.   Arrange for transfer to the emergency room for IV meds for rate control, anticoagulation, and laboratory evaluation.

C.   Arrange for the patient to have an outpatient stress test.

D.   Have the patient perform a valsalva maneuver