Q8. Based on the image below, what is the 2nd most affected valve in rheumatic fever?
Wednesday, June 9, 2021
Clinical Case MCQs: Dyspnea
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?
a. Systolic ejection click
b. S3
c. S4
d. Opening snap
e. Signal artifact
f. Split S2
Clinical Case: dyspnea
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?
a. Presence of atrial fibrillation
b. Cardiac tamponade
c. Fluid overload
d. Tricuspid regurgitation
e. Forceful atrial contraction
f. Stiff right atrium
Tuesday, June 8, 2021
Clinical Case MCQs: Dyspnea
Q3. While the patient is on the examining table, you note his jugular venous pressure. In general, what does the ‘V’ wave represent?
a. Atrial contraction
b. Relaxation of the atria
c. Right ventricular contraction
d. Venous filling
e. Rapid emptying of atria into the ventricle
Clinical Case MCQs- dyspnea
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
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