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A soft, high pitched, blowing diastolic decrescendo murmur best heard at the 3rd left
interspace at base, initiated with S2 and heard when the patient sits up and leans
forward. - answer-Aortic regurgitation
A low pitched diastolic rumble that does not radiate, best heard at the apex when in the
left lateral position. - answer-Mitral stenosis
A loud, harsh murmur occurring midsystole, radiating down the side of the neck and
down to the apex. - answer-Aortic stenosis
A loud blowing murmur heard at the apex that is pansystolic. - answer-Mitral
regurgitation
The most common metabolic bone disease characterized by chronic, progressive,
systemic low bone mass and deterioration of bone tissue, leading to increased skeletal
fragility and deformity. - answer-Osteoporosis
The most common clinical manifestation of osteoporosis. - answer-Bone deformity
A class of medications used to treat erectile dysfunction. - answer-Phosphodiesterase
inhibitor
May be used at a dose of 2.5 mg daily if sexual activity will take place two or more times
per week. - answer-Tadalafil (Cialis)
5 mg may be taken with a high-fat meal four hours before sexual activity. - answer-
Vardenafil (Levitra)
,50 mg may be taken one hour before sexual activity as long as the patient has a resting
blood pressure below 170/110 mm Hg. - answer-Sildenafil (Viagra)
Recommended at 50 mg for all patients, and may be taken 30 minutes before sexual
activity. - answer-Avanafil (Stendra)
A method of describing the three main factors that lead to thrombosis:
hypercoagulability, damage to endothelial cells, and turbulent blood flow. - answer-
Virchow's Triad
A condition that leads to clotting, including malignancy, trauma, sepsis, and
thrombophilia. - answer-Hypercoagulability
Part of Virchow's triad that causes blood to clot by promoting platelet adherence to the
wall of the vessels. - answer-Endothelial cell damage
A component of circulatory stasis in Virchow's triad, which can be caused by atrial
fibrillation, venous obstruction, and ventricular dysfunction. - answer-Turbulent blood
flow
A condition that may present with hypercalcemia and mental confusion. - answer-
Kidney stones
A condition that may be evaluated in patients with kidney stones, hypercalcemia, and
mental confusion. - answer-Cushing Syndrome
A fracture that occurs due to weakened bone structure, commonly associated with
osteoporosis. - answer-Pathologic fracture
A condition that is not common in osteoporosis, resulting from fat obstruction due to
injury or trauma. - answer-Fat embolism
A potential symptom of osteoporosis, but not the most common clinical manifestation. -
answer-Bone pain
Not part of Virchow's triad and does not affect blood clotting. - answer-Sympathetic tone
The second aspect of Virchow's triad, which promotes blood clotting. - answer-Vascular
wall injury
The third component of Virchow's triad, which can lead to thrombosis. - answer-
Circulatory stasis
A symptom that may accompany hypercalcemia in patients with kidney stones. -
answer-Mental confusion
, An elevated level of calcium in the blood, often associated with kidney stones. - answer-
Hypercalcemia
A condition characterized by excessive production of aldosterone, leading to
hypertension and electrolyte imbalances. - answer-Conn's Syndrome
A condition where the parathyroid glands produce too much parathyroid hormone,
resulting in elevated calcium levels in the blood. - answer-Hyperparathyroidism
A disorder in which the adrenal glands do not produce sufficient steroid hormones. -
answer-Addison's disease
Medications taken by mouth to prevent pregnancy, which may have various side effects
and risks. - answer-Oral contraceptives
Drugs that are contraindicated in pregnancy due to evidence of fetal harm. - answer-
Pregnancy category X drugs
A peptide hormone that causes blood vessels to constrict, leading to an increase in
blood pressure. - answer-Angiotensin
A hormone produced by the adrenal glands that regulates sodium and potassium levels,
affecting blood pressure. - answer-Aldosterone
An abnormal increase in resonance during percussion of the chest, often indicating the
presence of air, such as in pneumothorax. - answer-Hyperresonance
A condition where air leaks into the space between the lung and chest wall, causing
lung collapse. - answer-Pneumothorax
A clinical test used to detect hip dislocation in infants by flexing and abducting the legs.
- answer-Ortolani maneuver
A disease characterized by the narrowing of coronary arteries, leading to reduced blood
flow to the heart. - answer-Coronary heart disease
A type of fat found in the blood that is necessary for building cells, but high levels can
increase the risk of heart disease. - answer-Cholesterol
Often referred to as 'bad' cholesterol, high levels can lead to plaque buildup in arteries. -
answer-LDL (Low-Density Lipoprotein)
Known as 'good' cholesterol, it helps remove other forms of cholesterol from the
bloodstream. - answer-HDL (High-Density Lipoprotein)