Solutions
A 12 year old boy presenting with complaints of
fever, pink macular rash on the trunk and finding of
diastolic murmur on the exam should be
investigated for possible:
a. Restrictive cardiomyopathy
b. Dilated(congestive) cardiomyopathy
c. Rheumatic fever
d. Tuberculosis Correct Answers c. Rheumatic
fever
A clinical feature of addison disease is:
a. Truncal (abdominal) obesity
b. Muscle wasting and thin extremities
c. Cardiac hypertrophy and hypertension
d. Hyperpigmentation Correct Answers d.
Hyperpigmentation
A common and overlooked cause of chronic
orthostatic hypertension is:
,A. Abdominal aneurysm
B. Cerebral aneurysm in the Circle of Willis
C. Increased peripheral resistance caused by
peripheral vascular disease
D. Autonomic neuropathy in persons with diabetes.
Correct Answers D. Autonomic neuropathy in
persons with diabetes
A hormone not involved in sugar metabolism is:
a. Insulin
b. Glucagon
c. Aldosterone
d. Cortisol Correct Answers c. Aldosterone
A hypodermic injection of epinephrine would
a. Increase heart rate, increase blood pressure,
dilate the bronchi and increase peristalsis
b. Decrease heart rate, increase blood pressure,
constrict the bronchi and increase peristalsis
,c. Increase heart rate, increase blood pressure,
dilate the bronchi and decrease peristalsis
d. Decrease heart rate, decrease blood pressure,
constrict the bronchi and increase peristalsis
Correct Answers c. Increase heart rate, increase
blood pressure, dilate the bronchi and decrease
peristalsis
A mitral valve prolapse would be heard during:
a. Ventricular systole
b. Atrial systole
c. Isovolumetric relaxation phase
d. Ventricular diastole Correct Answers a.
Ventricular Systole
A patient presents with fever, diffuse microemboli
presenting as petechial lesions, painful lesions on
the fingertips and what looks like non-tender
bruising on both hands is most indicative of which
disease process?
a. Infective endocarditis
b. Rheumatic fever
, c. HIV infection
d. Tuberculosis Correct Answers d. Infective
endocarditis
A possible symptom of an expanding pituitary
tumor not related to hormones includes:
a. Visual disturbances
b. Muscle weakness
c. Respiratory depression
d. Hearing disturbances Correct Answers a. Visual
disturbances
A result of the action potential's long duration in
stimulating muscle is that:
A. Summation cannot occur regardless of how
strong the stimulus
B. Cardiac muscle cannot go into tetanus and lock
up in contracted position
C. Cardiac muscle has a long refractory period
D. All of the above are true. Correct Answers D.
All of the above are true