A 65-Year-Old Immigrant from Eastern Europe Comes to the Physician

A 65-year-old immigrant from Eastern Europe comes to the physician because of a four-week history of low-grade fever, multiple joint pains, and a well-demarcated erythematous rash on his face and trunk.  The patient denies hair loss, mucosal ulceration, or photosensitivity.  His serum test is positive for the presence of anti-nuclear antibody (ANA) in very high titers.  The patient reports a past medical history of coronary artery disease, congestive heart failure, and "cardiac rhythm abnormalities."  This patient should be specifically questioned about the intake of which of the following medications?

A) Amiodarone
B) Propranolol
C) Lidocaine
D) Procainamide
E) Verapamil
F) Adenosine

Correct Answer:

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