Me3 – John Smith

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Scenario: Mr John Smith was admitted on 03/15/2025 with chest pain and shortness of breath. He was diagnosed with a myocardial infarction and underwent percutaneous coronary intervention (PCI). His condition has stabilized, and he is currently undergoing cardiac rehabilitation to improve his cardiovascular health. However, his exercise tolerance has not improved, and his risk factors are high. Write a letter to a cardiologist.

Notes:

2017 – Coronary artery bypass graft (CABG).
2018 – Type 2 diabetes mellitus; managed with metformin.
2019 – Hyperlipidemia; on statins.
2021 – Acute pancreatitis; resolved with conservative management.
2022 – Cataract surgery, left eye.

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Passing grade: 3
Time limit: 5 minutes
Number of allowed attempts: 5

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Notes:

2017 - Coronary artery bypass graft (CABG).
2018 - Type 2 diabetes mellitus; managed with metformin.
2019 - Hyperlipidemia; on statins.
2021 - Acute pancreatitis; resolved with conservative management.
2022 - Cataract surgery, left eye.

Mr Smith coronary artery bypass graft and cataract surgery his left eye in 2022. He was with diabetes mellitus, hyperlipidemia and acute pancreatitis 2018, 2019 and 2021, . Conservative management was provided for pancreatitis.