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Kaplan Qbank USMLE



Author19 Posts
  #1

A cardiologist performed a routine work up on a 65 yo Afro-Carribean male. From the history of Mr White, you know that he has arteriosclerosis. Which of the following would you expect in him -

MAP Pulse Pressure
A) Inc Dec
B) Dec Inc
C) Inc Inc
D) Dec Dec

Please explain your answers because this is a VERY important concept!

  #2

In arteriosclerosis, for example, where the arteries become stiff, the pulse pressure is chronically raised

  #3

B ?

  #4

DUDE U FORGOT TO MENTION WHO THE HECK IS Mr. WHITE & his Previous History Secondly this is very interesting and very rare that an Afro- Carribean Dude calls himself White

___________________
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."

  #5

Perfect joke, now tell me pl about MAP

  #6

I cant not enuf history but considering

he is 65 yr so he will have hardened arteries so his MAP n PP will both be increased


___________________
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."

  #7

Dude Ok This Not COOL plz either post the Complete Q or atleast which is complete and secondly post the explanations also !!!! madmadmaddisapprovaldisapprovaldisapproval


___________________
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

See..you have to figure that part out!
B) It's not very uncommon for African-Americans to have White as a last name.

Back to the q...

  #9

N-n-L, you got it!
Both MAP and PP should increase in case of arteriosclerosis.

Now tell us, WHY that happens.

  #10

RayBerg wrote:
See..you have to figure that part out!
B) It's not very uncommon for African-Americans to have White as a last name.

Back to the q...


Agree, i met lots of african americans having White as a last name in US clinical setting !
As far as the expl. goes, i dare to share my thoughts, again, just my understanding, it doesnt mean im correct smiling face
atherosclerosis hardens the vessel
less Compliant vessel ---> increase SBP and Decr DBP---> wider PP

  #11

A is correct

  #12

Ig 2006
Explain please

  #13

Epica, the correct answer is Inc, Inc i.e. C. As Lucky already explained, PP increases in ateriosclerosis. My understanding for increased MAP is hardening causes dec in compliance --> inc P

  #14

relation between compliance and BP,
fall in compliance..........rise in pulse pressure.
fall in compliance..........rise in MAP...
why bcos fall in compliance......rise in both systolic and diastolic pressure...
just put on respective formulae
Pulse pressure.....syst minus diastolic
MAP....................diast plus 1/3syst.
both has sys and diastolic component....when both are rising individually........resultant pressures shud also rise...

  #15

MAP=CO*TPR..in arteriosclerosis the total peripheral resistance increases ,so if one of the component increases ,the MAP shud also increase.

pulse pressure=the resistance increases in the vessels,so the pressure shud also increase,

so it shud be A .both increases.


  #16

sorry the option C ,both increases.


  #17

nod

  #18

both MAP and Pulse pressure increases as MAP is the sum of all pressures and de to arterioosclerosis the pressure increase in all the arterial sysytem thus increasing MAP and as the sysyto;e increases it will also increase the pulse pressure......

___________________
i m not perfect but i wanna get close to it......

  #19

both increasewink







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