Download e-book for iPad: 500 Single Best Answers in Medicine by Sukhpreet Singh Dubb; et al

By Sukhpreet Singh Dubb; et al

ISBN-10: 1444121529

ISBN-13: 9781444121520

ISBN-10: 1444149806

ISBN-13: 9781444149807

500 SBA-style questions offer helpful suggestions and exam perform for these in education for clinical finals and beyond.

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The presumptive diagnosis is constrictive pericarditis. Which of the following physical signs would be consistent with this? A. B. C. D. E. Increased jugular distention on inspiration Third heart sound Fourth heart sound Rales at both lung bases Loud first and second heart sounds 14 Section 1: Cardiovascular 34. Visual disturbance A 71-year-old man is being treated for congestive heart failure with a combination of drugs. He complains of nausea and anorexia, and has been puzzled by observing yellow rings around lights.

D. E. Hypertrophic obstructive cardiomyopathy Congenital aortic stenosis Coarctation of the aorta Patent ductus ateriosus Atrial septal defect 21. Ventral septal defect A 16-year-old boy is diagnosed with a small ventricular septal defect, having been screened by echocardiography because of a family history of hypertrophic obstructive cardiomyopathy. He is entirely asymptomatic, plays several sports regularly and has no growth retardation. The echocardiogram also confirms a small left to right shunt, with pulmonary to systemic flow ratio only just above one.

A. B. C. D. E. Arrange for his medication to be given under direct observation Add spironolactone to his medication Arrange urinary catecholamine assays Request an adrenal CT scan Add verapamil to his medication Answers 17 ANSWERS Myocardial infarction 1 D Time equates to muscle. Judging from the urgency, this male presented with an ST elevation MI (STEMI) which is an indication for urgent primary percutaneous coronary intervention (PCI). Compare this to a non-ST elevation MI (NSTEMI) which indicates ischaemia rather than infarction and PCI should be carried out within 48 hours (answers A and C).

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500 Single Best Answers in Medicine by Sukhpreet Singh Dubb; et al

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