Sunday, June 13, 2021

Clinical Case MCQs: Dyspnea

 Q11. After reviewing the CXR in Q10,  the resident ordered a CT scan of the lung in the patient with mitral stenosis (Close up view). You immediately suspect?


a. Interstitial lung disease
b. Kerley B lines
c. Miliary tuberculosis
d. Emphysema
e. Atelectasis
f. Multiple pulmonary emboli

Clinical Case MCQs: Dyspnea

 Q10. After admission of the patient, another CXR is obtained. What blood work would you order to confirm the diagnosis based on the CXR?




A. Troponin levels
B. LDH levels
C. BNP levels
D. Creatinine and BUN levels
E. ESR and CRP levels
F. Arterial blood gas

Clinical Case MCQs: Dyspnea

 Q8. You order another CXR in the patient with the pandiastolic murmur and the radiologist has entered some markings. After viewing this x-ray you will be concerned for?



A. Endocarditis

B. Stroke

C. Tamponade

D. Heart failure

E. Right heart failure

f. Aneurysm rupture

https://youtu.be/_5yeSyyoUlY



Clinical Case MCQs Dyspnea

 Q6. Based on recent studies, what risk factor is known to be associated with the ECG feature shown below?


a. Smoking
b. Alcohol
c. Obesity
d. Diabetes
e. Gout
f. Exercise

Clinical Case Dyspnea

 Q4. Based on the history of palpitations and type of murmur (see below) you expect her ECG to show?


A. Paroxysmal atrial tachycardia
B. Multifocal atrial tachycardia
C. Premature ventricular contractions
D. Atrial fibrillation
E. Ventricular tachycardia 


Clinical Case MCQs: Dyspnea

 Q3. The patient’s murmur is depicted below. The sound marked by the red arrow is accentuated. What other condition can also the same feature?


a. Prolonged QT interval
b. Short PR interval
c. Hypothyroidism
d. Polycythemia
e. Lack of Vitamin C
f. Hyperkalemia 

Clinical Case Dyspnea

 Q1. A 40 yo female from Vietnam presents with a 2-month history of anorexia, palpitations, cough and dyspnea. She is unable to lie down at night without getting short of breath. She has no history of allergies and does not use any drugs. She came to the USA 20 years ago and does not remember if she had a throat infection as a child. She is afebrile with stable vitals. On exam, her JVP is elevated and she has rales. The patient has brought over an x-ray done 12 months ago- see below. You want to rule out?


A. Pericardial disease
B. Syphilis
C. Aortic aneurysm
D. Valve disorder
E. Lymphoma
f. Sarcoidosis