Y2M3 Physiology
d - ANS-60 years old man presents to cardiologist for swelling of legs bilaterally. His past history
is significant for myocardial infarction 6 months ago. On chest examination, physician finds
murmur consistent with tricuspid regurgitation. Patients jugular venous pulsation is elevated,
has pulsatile liver. Patient does not have pulsus paradoxus. What is the most common cause of
patient's peripheral edema?
a) constrictive pericarditis
b) left heart failure
c) pericardial effusion
d) right hear failure secondary to myocardial infarction
d - ANS-53 year old man presents with left retrosternal chest pain and shortness of breath. On
auscultation, heart sounds are muffled. Further examination shows elevated and positive pulsus
paradoxus. What is the probable diagnosis?
a) Pleuritis
b) pneumonia
c) constrictive pericarditis
d) pericardial tamponade
C - ANS-58 year old man presents to cardiologist for swelling of legs bilaterally. His past history
is significant my myocardial infarction 6 months ago. The cardiovascular examination reveals
murmur consistent with mitral regurgitation, pulsus alternans and peripheral cyanosis. Physician
diagnosis patientswith left ventricular failure. What is the most probable cause of patient's SOB/
left ventricular failure?
a) high salt intake
b) poor medication compliance
c) myocardial infarction
d) high blood pressure
a - ANS-80 year old man suffered with myocardial infarction. Which cardiac enzyme is more
specific to myocardial infarction?
a) troponins
b) creatinine kinase
c) AST/ALT (SGPT?SGOT)
D) there is no specific cardiac enzyme
A - ANS-Second heart sound is due to the closure of which valves?
a) aortic and pulmonary valve
b) mitral valve
c) tricuspid valve
d) atrial at the vena cava
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