Q13. While being worked up, the patient’s cardiac monitor reveals the following (See below). What is the next step in his management?
Q12. What one common disorder is known to be associated with a ‘decrease’ in the rate in the below test?
Q11. The patient in Q1 undergoes the blood test shown below. What ‘prosedimentation’ factor in the blood governs this reaction?
Q10. The patient with mitral stenosis is worked up and his pathology is depicted below in the drawing. What is a common symptom in these patients with the anatomical pathology shown below?
Q8. Based on the image below, what is the 2nd most affected valve in rheumatic fever?
Q5. You decide to examine the heart. The murmur and sounds during auscultation are shown below. The S1 is accentuated. What does the black arrow represent?
Q4. You examine the patient’s neck. His JVP tracing is sketched below. What is the cause of this abnormal waveform in a patient with mitral stenosis?
Q3. While the patient is on the examining table, you note his jugular venous pressure. In general, what does the ‘V’ wave represent?
Q1. A 28-yo Asian male presents with 5-month history of progressive dyspnea, joint pains and a cough. For the past week, he has been severely dyspneic and has no exercise endurance. He was born in Cambodia and denies use of alcohol, tobacco or illicit drugs. He did not see a doctor because of lack of insurance and he has been self medicating himself with over the counter meds to no avail. He is not sure of a throat infection in the past. He is afebrile and hemodynamically stable. As you start to examine him, you note his elbow- the lesions appear to firm and dermal-see below. The most important differential in a patient with these lesions is?
a. Osteoarthritis
b. Lupus
c. Rheumatoid arthritis
d. Psoriasis
e. Gout
f. Malignancy
Q3. Which type of incontinence is most common when there is malfunction of structure ‘F’?
Q2. A 65 yo presents with a 3-month history of urine leakage especially when coughing, walking and heavy lifting. This problem started after his recent surgery on the prostate. From the image, what structure is most likely responsible for his urinary symptoms?
Q1. The function of the muscle labeled ‘A’ is to?
Q2. Dislocation of this particular wrist bone is often associated with injury to which structure?
Q1. After a fall from a height, a carpenter presents with pain in his right wrist. His hand is swollen and his range of motion is limited. His fingers are held in partial flexion and he is complaining of tingling sensations in the middle two fingers. Based on the x-ray shown, the most likely wrist bone affected is?
2. While waiting for the cardiologist to evaluate the asymptomatic patient, what is the next step in his management?
1. A 70 yo admitted to the ICU is found to have the following ECG. His troponin levels are elevated. In general, this rhythm is most often associated with which type of MI?
A 29 yo asthmatic patient suddenly develops palpitations and diaphoresis. His ECG is shown below. BP is 110/75. What therapy would you avoid in him?
A patient on the medical floor is found to be bradycardic and it is decided to pace him. You are not able to get hold of the cardiologist. You decide to insert the pacing lead. What is the ideal location for the catheter tip for temporary transvenous pacemaker- see image?
A
B
C
D
E
You are called to the ED where a patient is unresponsive with a BP of 69/40. His ECG is shown. What is the next step in his management?
