shine10
Forum Newbie
Topics: 5
Posts: 9
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1. A 32 year old man with AIDS has a 6 week history of progressive weakness of his right hand, expressive aphasia and a mild headache. A CT scan of the head with contrast is shown (I hope you remember the picture). Which of the following is the most likely causal organism?
A. cryptococcus neoformans
B. cytomegalovirus
C. pneumocystis carinii
D. toxoplasma gondii
E. treponema pallidum
2. A 50 year old man has a history of poorly controlled hypertension. Vital Signs are:
Pulse: 96/min
Respirations: 16/min
BP: left arm-226/120
Right arm-218/118
With the patient in the left lateral decubitus position, a late diastolic sound is heard best with the bell at the apex. Which of the following is the most likely explanation for this auscultatory finding?
A. aortic insufficiency
B. aortic stenosis
C. mitral insufficiency
D. mitral stenosis
E. opening snap
F. pulmonary insufficiency
G. pulmonic stenosis
H. S3
I. S4
J. Tricuspid insufficiency
9. A homeless 38 year old man has a 3 month history of decreased appetite, generalized wasting, a low grade fever and worsening cough productive of bloody, mucopurulent sputum. He has a 3 year history of alcohol abuse. X ray films of the chest show consolidation and cavitary lesions in the apices of the lungs. Which of the following is the most likely inflammatory and/or immune response in the lung?
a. endothelial cell proliferation, vascular budding, fibroblasts
b. epithelioid cells, multinucleated giant cells, caseation necrosis
c. fibroblasts, collagen deposition, replacement of intrinsic tissue
d. macrophages, lymphocytes, hypergammaglobulinemia
e. neutrophils, vascular congestion, exudate
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| gogetit
Forum Senior
Topics: 39
Posts: 104
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2. H S3… to me it looks like heart failure due to uncontrolled HT.. he has nocturnal dyspnea so sat up whole night
3. E.. klebsiella
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| gogetit
Forum Senior
Topics: 39
Posts: 104
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hey i dont know the first one..
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| icycool
Forum Junior
Topics: 2
Posts: 24
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1.D,2 H,3 B WHAT DO U SAY?
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| robin082006
Forum Hero
Topics: 471
Posts: 5,123
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Hi,
S3 is early diastolic sound. for the second question I go with S4.
9. Pulmonary abcess--> I go with E
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| reet
Forum Fanatic
Topics: 152
Posts: 1,411
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1.. if ring enhancing lesion CT---toxo GOndi
2) S4
9) E
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| ramo7
Forum Senior
Topics: 15
Posts: 126
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1 a 2 a 3 b?
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| kingdavid26
Forum Newbie
Topics: 0
Posts: 6
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number 3: because he has a history of alcohol and a mucous sputum (Klebsiella has a mucous sputum because of its unique capsule NOT TB) and cavitation (klebs also) i would think its E. because neutrophils are required for cavitations and abscess.
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| lam79m
Forum Junior
Topics: 6
Posts: 43
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1. D??? 2. I 3. E
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| docswapna
Forum Senior
Topics: 61
Posts: 229
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I guess Q9 is B - tuberculosis
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