1.

Whichofthefollowingwouldbemostlikelyfoundinpatient
withchronicseveremitralregurgitation?

A.RVlift

B.EF65%

C.Dyspnea

D.Thirdheartsound

E.NormalLVcavitysize

2.A74yearoldmanwasadmittedtotheemergencyroom
becauseofchestpainthatstarted1hrago.Heisnowpain
free,followingmorphinethatwasadminMK421_ch5isteredin
theambulance.Hehadarightsidedcardioembolicstroke3yrs
agoandhasminimalresidualleftarmweakness.ECGwas
performed.
Thenextbeststepformanagementwouldbe:

A.Indomethacin
B.Pericardiocentesis
C.Thrombolytictherapy
D.Emergencycardiaccatheterization
E.Urgentcardiaccatheterizationonlyifpainreturns


3.A18yearoldwomanpatientpresentswithfatiguefor3
months.Physicalexaminationisnormalexceptmoderatelypale
conjunctivae.CBC:Hb7.8g/dL,MCV68fL,RDW22%,WBC
9
9
4.5x10
/L,PMN75%,L20%,M5%,platelet510x10
/L.Which
ofthefollowingsisthemostappropriatemanagementatthis
point?

A.Ironsupplement

B.B12supplement

C.Bonemarrowexamination

D.Packedredcelltransfusion

E.Abdominalultrasonography

4.A22yearoldmanwasreferredtoyourhospitalduetoacute
anemiaanddarkcoloredurine.Thephysicalexamination
showedmarkedlypaleandmoderatelyjaundicewithout
hepatosplenomegaly.Peripheralbloodsmearrevealedsome
ghostcells,hemoglobincontractedredcellsandblistercells.
Whatisthemostlifethreateningconditioninthispatient?

A.Hypokalemia

B.Hyperkalemia

C.Hyperviscosity

D.Hypovolemicshock

E.Tumorlysissyndrome