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    the most important complication of venous thrombosis is
    A. pulmonary embolism with resultant infarction
    B. peripheral vascular insufficiency with gangrene
    C.. arteriovenous fistula with hypervolemia
    D. thrombophlebitis
    E. varicose veins

    A one month old is taken to the pediatrician because of dyspnea difficulty in feeding andpoor weight gain. Physical exam reveals tachypnea, a weak femoral pulse compared to the radial pulse and a 30 mm Hg difference in systolic pressure between the upper and lower extremities. Diagnosis?
    – aortic coarctation
    – aortic regurgitation
    – cardiac tamponade
    – heart failure
    – hypovolemia

    A 30 year old woman presents with fever weight loss and painful joints. Lab test show that the patient has a direct Coombs test positive hemolytic anemia, a high titiered serum anti nuclear antibody with rim pattern and a low C3 level. Diagnosis –
    – Insulin Dependent Diabetes Mellitus
    – Rheumatoid Arthritis
    – SLE
    – hashimotos throiditis

    A 37 year old man with known diagnosis of AIDS was admitted to hospital with marked shortness of breath. Chest X ray showed bilateral nodularities in the lungs. A lung biopsy disclosed granulomas with acid fast bacilli in the central necrotic tissue. Diagnosis
    – pneumocystis carinii
    – mycoplasma pneumonae
    – tuberculosis
    – CMV
    – sarcoidosis

    a 42 year old man is seen because of a long history of slowly developing congestive heart failure. His blood pressure is normal. Coronary artery angiography reveals no vascular disease. No heart murmurs are heard. The white blood cell count, differential counts, and erythrocyte sedimentaion rates are normal. The most likely diagnosis
    – cardiomyopathy
    – constrictive pericarditis
    – carcinoid heart disease
    – myocardial infarction
    – coarctation of the aorta

    An 80 year old man complains to his physician at his yearly check up that his leg begins to ache about half through his daily 2 mile walk. The pain subsides within 1 to 2 minutes after he stops walking, He also complains of erectile dysfunction. Which of the following is most likely decreased in this man?
    – arterial oxygen content
    – arterial pulse at ankles
    – oxygen extraction in his leg muscles
    – peripheral vascular resistence
    – serum lipid levels

    which of the following is expected to be decreased in a patient with chronic hypertension secondary to renal artery stenosis?
    – arterial natriuretic peptide levels
    – BUN levels
    – Net acid excretion
    – Glomerular Filtration rate in response to captopril
    – potassium secretion

    a 65 year old man with a known history of heart disease is admitted to the hospital with a history of recurrent headaches and blurred vision. The left ventricle wall is enlarged. Detailed cardiac examination revelas no significant valvular defect. diagnosis
    – ischemic heart disease
    – hypersensitive cardiovascular disease
    – rheumatic heart disease
    – toxic heart disease
    – syphillitic heart disease

    same patient as above – on the second hospital day the patient has a suddne acute tearing chest pain extending toward the abdominal cavity. A sudden drop in pressure quickly follows this episode. The pateint most likely suffered a:
    – massive pulmonary infarct
    – dissecting aneurysm of the thoracic aorta
    – ruptured sacular aneurysm of the abdominal aorta
    – splenic infarct
    – embolic occlusion

    a patient with aortic stenosis compains of the recent onset of a cough and that the sputum is bloody. The cause of this is most likely due to:
    – myocardial decompensation
    – increase left ventricular end diastolic pressure
    – increased pulmonary resistence resulting in pulmonary hypertension
    – decreased cardiac output
    – emboli

    a 55 year old hypertensive man develops sudden onset of excruciating pain beginning in the anterior chest and then radiating to the back. Over the next 2 hours the pain moves downward towards the abdomen. Probable diagnosis?
    – aortic dissection
    – aortic valve stenosis
    – atherosclerotic aneurysm
    – myocardial infarction
    – syphillitic aneurysm

    a 60 year old man is admitted with chief compaint of substernal chest pain and perspiration. Examination reveals an obese man with along history of angina. The pateint expires on the 4th day of hospitalization. The autopsy will reveal
    – coagulative necrosis of the myocardium
    – pulmonary embolism
    – acute dilation of the right ventricle
    – left venrticle hypertrophy
    – bilateral pleural effusion

    a 60 year old obese woman is admitted to the hospital with chief compaint of fatuge and chest pain. The patient reports several episodes of chest pain over the last several years and icnreased pain in the lower extremeties associated with walking. The lab test reveal mild diabetes mellitus. The patien lower leg symptoms are most likely due to
    – muscle spasm
    – peripheral vascular disease
    – severe osteoporosis
    – recurrent systemic thromboemboli

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