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Kaplan Qbank USMLE



Author8 Posts
  #1

A 25-year-old previously healthy woman has worsening fatigue with dyspnoea, ‎palpitations, and fever over the past one week.
Her vital signs on admission to the ‎hospital show
Temperature 38.9°C
Respiratory rate 30/min
Pulse 105 bpm and BP ‎‎95/65 mmHg.
Her heart rate is irregular. An ECG shows diffuse ST-T segment ‎changes. A Chest X-ray shows mild cardiomegaly.
An echocardiogram shows slight ‎mitral and tricuspid regurgitation but no valvular vegetations. Her troponin I is 12 ‎ng/mL. She recovers over the next two weeks with no apparent sequelae.

Which of ‎the following laboratory test findings best explains the underlying etiology for these ‎events? ‎

‎1) ANCA titer of 1:80
‎2) Anti-streptolysin O titer of 1:512
‎3) Blood culture positive for Streptococcus, viridans group
‎4) Coxsackie B serologic titer of 1:160
‎5) Total serum cholesterol of 9.6 mmol/l


Explain Ur Answers PLZ


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #2

I will go with Coxsackie....Interesting qn-new n lost

  #3

mmmmmmmmm confused i'd go with rheum fever... since thee is somewhat a litlle bit of percard. factor, myocard. factor( incr T I ) and endocard. factor.
S, id say the answer is incr ASLO

  #4

4 ?

  #5

the most weird cases with heart - culprit coxackie

  #6

4. coxsackie..

  #7

nodnodnod

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #8

She has findings that suggest myocarditis, which can have features of ‎cardiomyopathy. One of the most likely organisms is Coxsackie B virus

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."







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