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The Patient Is Exhibiting A Productive Cough And A Low-Grade Fever. Chest X-Ray On Pa View
Shows A Left Lower Chest Area Of Consolidation Adjacent To The Left Border Of The Heart
Approximately 2 Rib Spaces Above The Costophrenic Angle. The Lateral X-Ray View Shows This
Lesion Absent Of The Window Posterior To The Cardiac Silhouette. Which Is The Most Likely
Location Of This Area Of Focal Consolidation?
1. Left Upper Lobe Apex
2. Right Middle Lobe
3. Left Upper Lobe Lingula
4. Left Lower Lobe
CORRECT ANS>> Left Upper Lobe Lingula
FEEDBACK: Lingular Consolidation Is Described In This Question Precisely. If The Cardiac
Margin/Silhouette Is Obliterated By The Mass, The Lesion Is Either Right Middle Lobe Or Left
Upper Lobe Lingula.
The Inability To Fully Relax The Myocardium During Relaxation Is A Trademark Of Which Of The
Following Diagnoses?
CORRECT ANS>> Diastolic Dysfunction
FEEDBACK: The Inability For The Heart To Relax Is A Trademark Of The Diagnosis Of Diastolic
Dysfunction And Is Common In Patients With Thickened Hypertrophic Myocardium.
An Otherwise Healthy African American Adult Male Has Been Diagnosed With Hypertension. He
Has Been Restricting His Salt Intake, Eating A Dash (Dietary Approaches To Stop Hypertension)
Diet, And Exercising More, But His Blood Pressure Is Still Elevated. Which Is The Best Medication
To Prescribe Him?
, CORRECT ANS>> Calcium Channel Blocker
FEEDBACK: African American Patients Per Jnc8 Hypertension Guidelines Should Be Managed
With A Dihydropyridine Calcium Channel Blocker Such As Amlodipine (Norvasc) As First Line
Management Therapy For Hypertension Not At Goal With Dash And Lifestyle Modifications.
Your Patient Has Been Diagnosed With A 4.5cm Ascending Aortic Aneurysm. Which Medical
Imaging Is Considered Standard Of Care For Serial Surveillance?
CORRECT ANS>> Ct Angiography Of The Chest
FEEDBACK: Ct Angiography Is Considered The Standard Of Care For Measuring Vascular Luminal
Dimensions With Contrast. Ct Pe Protocol Is Not Timed Properly For The Aorta (It's Timed For
The Pulmonary Artery). Although A Plain Film Is Able To Catch Large Aneurysms At Times, They
Are Not Able To Provide Multi-Axis Reconstruction Needed To Accurately Measure The Size.
Transesophageal Echo Is Not Needed To Accurately Measure The Aorta And Requires The
Patient To Undergo Sedation Which Is Unnecessary.
Which Of The Following Medications Does Not Cause Beta 1 Stimulation?
CORRECT ANS>> Phenylephrine
FEEDBACK: Phenylephrine Only Stimulates Alpha 1 Receptors. The Remaining Three All Have
Beta Receptor Activity.
A 50-Year-Old Woman With A History Of Hypertension Presents With Dyspnea On Exertion And
Orthopnea. On Examination, She Has Jugular Venous Distention And Bilateral Crackles On Lung
Auscultation. What Is The Most Likely Diagnosis?
CORRECT ANS>> Congestive Heart Failure
FEEDBACK: Of The Available Options, The Most Accurate Response Is Congestive Heart Failure
As It Is Signifying Both A Right Ventricular Back Up With Jugular Venous Extension And Crackles
On Lung Assault, Which Are Suggestive Of Left Ventricular Back Up. It Is Possible The Patient