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Cardiology

QuizandReview2011

ChaninPeerabool

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40yr,femalewithdiffusesystemicsclerosis,NYHA

FCI,screeningechocardiogramforPAH,result

RVSP50mmHgandproceedtoRHCresult:meanPAP45mmHgaLervasoracMveagentsresult

meanPAP30mmHgandCOisdecreased.

Whatisnextmanagement? A.Bosentan

B.Sidenafil

C.Beroprost

D.Verapamil

E.Nofurthermanagement

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CervicalPulse Pulsusparvusettardus

AS Pulsusbisferiens

HOC,ASandAR,SevereAR Waterhammerpulse

AR Pulsusparadoxus

Tamponade,constricMvepericardiMs,asthma Pulsusalternans

SevereVdysfuncMon

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JVP GiantAwave

PS,PHT,RVF CanonAwave

AVdisso GiantVwave

TR Kussmualsign

RCHP,SVCsyndrome,PE,ConstricMvepericardiMs Rapidanddeepydescent

RCHP,ConstricMvepericardiMs

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PAcatheter

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SurgeryAAA suprarenal 5cm

infrarenal 5.5cm

growing >0.5cm/yr

TAA ascending 5.5cm descengind6cm

arfan 4-4.5cm

growing >0.5cm/yr

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InwhichofthefollowingpaMentswouldyourecommenda

preoperaMvenoninvasivefuncMonalassessment?

A.Anemergentrepairofarupturedappendix

B.A65-year-oldmalebeforeundergoingacaroMd

endarterectomywhounderwentacoronaryarterybypass

graL(CABG)2yearsearlierandhashadnopriorsymptoms

C.A62-year-oldmalewithhypertension,hypercholesterolemia,

anddiabetesmellituswhoishavingrecurrentchestpainwith

onlyminimalexerMonbeforearadicalprostatectomy

D.A65-year-oldmaleapriorhistoryofanginabutnohistoryof

myocardialinfarcMonwhoisplanningtoundergoanelecMve

hipreplacement

E.A52-year-oldfemalewithnocardiacsymptomsandanormal

physicalexambeforeabreastbiopsyforanewlyidenMfied

mass

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WhoshouldreceiveIEprophylaxis?A.TOFS/PBTStoreplacenewbraces.B.VPtotonsillectomyC.ASDS/Pclosure4yrtotoothextracMonD.PDAS/Pcoilocclusion8mototoothextracMonE.VSDS/PDacrongraLpatch2mototooth

extracMon

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