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Quiz: 1. A 31-year-old woman seeks evaluation for episodic waves of terror
and anxiety. She frequently awakens from a sound sleep due to a
rush of anxiety accompanied by palpitations, dyspnea, chest pain,
and numbness in her fingers and toes. Which of the following is the
most appropriate initial therapy for this patient?
A. Fluvoxamine (Luvox)
B. Amitriptyline (Elavil)
C. Phenelzine (Nardil)
D. Fluoxetine (Prozac)
Ans: D
Quiz: A 66-year-old woman with a history of diabetes, hypertension and a
50-pack-year smoking history is evaluated for dyspnea. On examination
she has distended neck veins, tachycardia with distant heart
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, sounds, and pulsus paradoxus. Which of the following is the most
likely diagnosis?
A. Acute coronary syndrome
B. Cardiac tamponade
C. Pericarditis
D. Infective endocarditis
E. Hypertrophic cardiomyopathy
Ans: B
Quiz: A 56-year-old man seen for routine evaluation is noted to have a
slightly raised lesion involving the bulbar conjunctiva of the left eye
which stretches across the cornea. This finding is most consistent
with which of the following?
A. Pterygium
B. Chalazion
C. Xanthelasma
D. Dacryocystitis
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, E. Entropion
Ans: A
Quiz: A 68-year-old man with a history of well-controlled hypertension
comes to clinic with calf pain while walking over the past three weeks.
He typically walks one to two miles most days of the week, but now
can tolerate less than 0.5 mile before he stops due to bilateral calf
pain. This pain resolves after resting one to two minutes, but returns
with increasing levels of activity. He denies chest pain, shortness
of breath, headache, or dizziness. Which of the following physical
examination findings is most likely?
A. Absence of leg hair
B. Bounding posterior tibial pulses
C. 2+ pitting edema of lower extremities
D. Stasis dermatitis of lower extremities
Ans: A
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