Sunday, June 13, 2021

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

Wednesday, June 9, 2021

Clinical Case MCQs: Dyspnea

 Q13. While being worked up, the patient’s cardiac monitor reveals the following (See below). What is the next step in his management?


a. Consult with cardiology
b. Observe
c. Administer atropine 0.5 mg IV
d. Use a temporary pacemaker
e. Order troponin levels

Clinical Case MCQs: Dyspnea

 Q12. What one common disorder is known to be associated with a ‘decrease’ in the rate in the below test?


a. Hemophilia
b. Lupus
c. Multiple myeloma
d. CO poisoning
e. Sickle cell anemia
f. Lymphoma
g. Pernicious anemia