AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
|
A 22-year-old man is evaluated as part of a routine examination. He is asymptomatic, has a sedentary lifestyle, and has not seen a physician for 10 years. He does not smoke or use illicit drugs, and his medical history is negative.
On examination, he is 171.5 cm (78 in) tall and weighs 72.8 kg (185 lb) with pectus excavatum. Blood pressure is 134/65 mm Hg bilaterally, and pulse rate is 76/min and regular. He has a high arched palate. There is a 2/6 decrescendo diastolic murmur at the right upper sternal border while in the upright posture. Abdominal examination is normal. There is moderate scoliosis, joint hypermobility, and the patient's thumb and fifth digit overlap when circling the opposite wrist (“wrist sign”).
What is the most appropriate next step in the patient's management?
A Chest radiograph
B Transthoracic echocardiogram
C Aortic magnetic resonance angiogram
D Transesophageal echocardiography
___________________
seeking study partner in USMLE, Canadian MCC OSCE examination
|
| AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
|
wrist sign
Attached Files:
sum10907_fm-1f.jpg (11 KB, 6 downloads)
___________________
seeking study partner in USMLE, Canadian MCC OSCE examination
|
| vanshita
Forum Guru
Topics: 31
Posts: 933
|
D marfan's syndrome
|
| AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
|
D is wrong
___________________
seeking study partner in USMLE, Canadian MCC OSCE examination
|
| dr.wad
Forum Senior
Topics: 3
Posts: 350
|
( A )
|
| sprint123
Forum Guru
Topics: 129
Posts: 870
|
Marfan's-->Increased risk of aortic aneurysm--->MRI aorta to determine the size---><6 mm - no treatment..
I will go with C..
|
|
| |
| | | | | | |
Similar forum topics