London Core Review - Preview Questions Quiz Question Title * 1. A 25-year-old man is hospitalized for the evaluation of dyspnea, two years after heart transplantation. An echocardiogram reveals an ejection fraction of 32%. An endomyocardial biopsy, obtained the day of admission, reveals no evidence of rejection. He is normotensive with a pulse of 110/minute. He has bibasilar rales, elevated jugular venous pulsations, and a third heart sound. Which of the following is most appropriate? Administer methylprednisolone 1000 mg daily for three days. Administer methylprednisolone 1000 mg daily for three days in addition to the murine monoclonal antibody OKT3 for 7-10 days Perform coronary angiography Begin digoxin, angiotensin converting enzyme (ACE) inhibitor, beta-blockers, spironolactone, and diuretics Perform a transesophageal echocardiogram or a gated blood pool scan (MUGA) Page1 / 75 1% of survey complete. Next