- You're evaluating a 35 y/o M Who presents to your office w/ a headache. On physical exam, his BP is 240/120 mmHg. On fundoscopic exam, you note the presence of papilledema. What is the person's underlying Dx?a. hypertensive urgencyb. hypertensive emergency c. Stage 1 HTNd. Stage 111 HTNe. Prehypertension
- Your patient is a 56 year old male whom you recently diagnosed with hypertension. The patient asks you what modifications he can make, so you first start by explaining his modifiable risk factors to him. Which of the following might you tell him are his risk factors?a. Obesity, increased salt intake. smoking, NSAID therapy, low potassium and low calcium intake, low physical activity, and drinking alcoholb. Obesity, decreased salt intake. smoking, NSAID therapy, high potassium and high calcium intake, low physical activity, and drinking alcoholc. Underweight BMI, increased salt intake, smoking, NSAID therapy, low potassium and low calcium intake, low physical activity, and drinking alcohold. Obesity, decreased salt intake, smoking, NSAID therapy, low potassium and high calcium intake, low physical activity, and being dehydrated
- how long have english records been preserved for
- A 60 year-old patient presents to the emergency department with a blood pressure of 200/140 mm Hg. The patient complains of vision changes and headache. Which physical examination finding would aid in the diagnosis of hypertensive emergency?a. AV nickingb. Flame hemorrhagesc. Papilledemad. Cotton wool spots.
- Which of the following condition can cause high output heart failure?a. Restrictive cardiomyopathyb. Hyperthyroidismc. Aortic stenosisd. Leukocytosise. Chronic hypertension
- A 45 year female with PMH of rheumatic fever since 10 y/o.Recently she is developing hoarseness,flushing and dyspnea on exertion.On examination there is diastolic murmur with opening snap.In which position you will heard the murmur best?a. Standingb. Pronec. Leaning forwardd. Left lateral decubituse. Valsalva
- A 59-year old presents with chest pain, dyspnea, and presyncope. The symptoms occur after climbing a flight of stairs. The patient has a late systolic ejection murmur heard in the second intercostal space at the right sternal border with radiation to the carotids and the apex. The murmur is decreased with the valsalva maneuver. What is this murmur?a. Mitral regurgitationb. Aortic stenosisc. Pulmonary stenosisd. Ventricular septal defect
- when did the roman church send st augustine to do missionary work
- for them to be a model society: connected highly with God
- A 23-year-old male presents with syncope. On physical examination you note a medium-pitched, mid-systolic murmur that decreases with squatting and increases with straining. Which of the following is the most likely diagnosis?a. Hypertrophic Cardiomyopathyb. Aortic Stenosisc. Mitral Stenosisd. Pulmonic Stenosis
- Catherine a 42 year old woman is brought to the ER for severe SOB, altered mental status, pale cool skin and sweating rapidly. Her vitals read: BP 72/55 HR 122 RR 24. Her JVP is elevated. When discussing with the case with the nurse she reports that the patient's "heart is not pumping enough to meet the body's demand. The nurse also tells you the patient had a heart attack. What type of shock is suspected?a. Neurogenic shockb. Cardiogenic shockc. Distributive shockd. Obstructive shock
- For which reason does the cartoonist imply that the United States discriminated against Chinese immigrants?
- Patient (43 year old male) states that for the last 2 weeks he has experienced fever, pleuritic and postural chest pain . Today he began complaining of acute shortness of breath and a cough. On exam patient has a raised JVP, Muffled heart sounds, and his blood pressure in 80/50. What should your interventions include?a. 1000 mg of Aspirinb. Give 20 mg of Lasix IV immediatelyc. Urgent pericardiocentesisd. Administer 0.4 mg of SL Nitro q 3-5 min
- 67 year old Samuel who is smoker with PMHX of HTN and DM is complaining of pain and ache in his LE when he is walking or doing physical activity. He says he gets relief when he rests. Upon PE you note that the pain is limited to his calf area and that there is rubor of his feet. What is the most common artery occluded when describing this case?a. Popliteal arteryb. Superficial femoral arteryc. Common iliac arteryd. Peroneal artery
- Which of the following findings is most suggestive of chronic arterial insufficiency of the legs?a. Hyperpigmentation of the anklesb. Intermittent claudicationc. Pedal edemad. Ulceration at the medial malleolus
- A 55 yo woman comes into your office complaining about lines and markings on her legs with a dull aching in her legs. Upon examination you realize the patient has varicose veins. You educate your patient on them and she wants treatment. What are the patient's treatment options?a. Endovenous thermal ablationb. Great saphenous vein strippingc. Sclerotherapyd. Elevate legs, avoid prolonged standing, and use compression sockse. All of the above
- A 36 year-old male complains of occasional episodes of "heart fluttering". The patient describes these episodes as frequent, short-lived and episodic. He denies any associated chest pain. Based on this information, which one of the following tests would be the most appropriate to order?a. Stress testb. Holter monitorc. Cardiac catheterizationd. Cardiac nuclear scanning
- Which of the following economic activities did the most to drive the rising levels of immigration that led to the enactment of the law described in the second passage?
- A 64 year-old male, with a long history of COPD, presents with increasing fatigue over the last three months. The patient has stopped playing golf and also complains of decreased appetite, chronic cough and a bloated feeling. Physical examination reveals distant heart sounds, questionable gallop, lungs with decreased breath sounds at lung bases and the abdomen reveals RUQ tenderness with the liver two finger-breadths below the costal margin, the extremities show 2+/4+ pitting edema. Labs reveal the serum creatinine level 1.6 mg/dl, BUN 42 mg/dl, liver function test's mildly elevated and the CBC to be normal. Which of the following is the most likely diagnosis?a. Right ventricular failureb. Pericarditisc. Exacerbation of COPDd. Cirrhosis
- The tone of the first passage best supports which of the following suppositions about British motivations for eradicating the sati ritual?