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1. Which of the following is a known complication associated with AAA? -
Correct Answer: Painful discoloration of the great toe
2. Which of the following statements is true regarding EVAR? - Correct
Answer: Most EVAR complications do not require open interventions
3. For which of the following patients is nonoperative management most
appropriate? - Correct Answer: B A 96-year-old man with severe
dementia and a 6-cm AAA. The patient has been a long-term resident of a
chronic care facility due to inability to care for himself secondary to his
dementia
4. A 45-year-old man with a past medical history of diabetes, hyperlipidemia,
and hypertension has smoked one pack of cigarettes a day for the past 15
years and drinks four glasses of wine every weekend. He is found to have an
AAA incidentally on CT imaging of the abdomen. Which of the following is
the most important predisposing factor for the development of his AAA? -
Correct Answer: B Smoking
,5. A 68-year-old man with a history of end-stage renal disease is admitted to
the hospital for chest pain. On examination, a pericardial friction rub is
noted. His ECG shows diffuse ST-segment elevation. Which of the following
is the best definitive treatment? - Correct Answer: Dialysis
6. The same is now hospitalized, but there is a delay in initiating treatment.
You are called to the bedside because he has become hypotensive with a
systolic blood pressure of 85/68 mm Hg, a heart rate of 122 bpm, and
pulsus paradoxus. A repeat ECG is unchanged from admission. Which of the
following is the most appropriate immediate intervention? - Correct
Answer: Perform echocardiographic-guided pericardiocentesis.
7. A 62-year-old man is evaluated for a 7-month history of progressive
dyspnea and lower extremity swelling. His medical history is significant for
lymphoma treated with chest irradiation 15 years ago and currently in
remission. He does not smoke or drink alcohol. On physical exam, vital signs
are stable. There is jugular venous distension and jugular venous
engorgement with inspiration. Cardiac exam discloses a prominent early
diastolic sound but no murmurs or gallops. Lung exam reveals normal
breath sounds. Abdominal examination reveals ascites, and lower
extremities show 3+ pitting edema. ECG shows normal sinus rhythm with
nonspecific diffuse ST-T changes. Urinalysis is normal. Chest radiography
shows calcifications around the heart and clear lung fields.
Which of the following is the most likely diagnosis? - Correct Answer:
Constrictive pericarditis
8. A 35-year-old woman is being seen for shortness of breath of 2 weeks'
duration. She denies a history of asthma, smoking, or cough. On
examination, her heart rate is 100 bpm, blood pressure is 90/60 mm Hg,
and respiratory rate is 20 breaths per min. Her jugular venous pulse was
, noted at rest to be 2 cm above the sternal notch, increasing to 6 cm above
the sternal notch with deep inspiration. Which of the following conditions
does she most likely have? - Correct Answer: Constrictive pericarditis
9. A 53-year-old man has been undergoing dialysis for end-stage renal disease
due to long-standing diabetes mellitus. He is being seen in the emergency
center for progressive dyspnea on exertion. On examination, he is found to
have a heart rate of 105 bpm, blood pressure of 90/60 mm Hg, and
respiratory rate of 20 breaths per minute. After examination, the clinician
suspects cardiac tamponade. Which of the following is the most sensitive
finding in this condition? - Correct Answer: • Drop in systolic blood
pressure more than 10 mm Hg during inspiration
10.A 35-year-old man is brought into the emergency department after a knife
injury to the chest. He is noted to be hypotensive with a blood pressure of
80/40 mm Hg and an elevated jugular venous pulse. Bedside ultrasound
examination confirms a large cardiac effusion. While awaiting
pericardiocentesis, which of the following is the most important
intervention for the patient to receive? - Correct Answer: Intravenous
fluids
11.Which of the following is most likely to cause restrictive cardiomyopathy? -
Correct Answer: Endomyocardial fibrosis
12.In a patient who presents to a primary care physician with signs and
symptoms of claudication secondary to peripheral arterial disease, which of
the following would be an ideal initial diagnostic modality? - Correct
Answer: A. D. Ankle-brachial index