kiterunner
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1) At autopsy, heart of a 73 YO M shows marked RVH and RAH w/ dialatation. Aorta shows minimal atherosclerosis and the pulmonary trunk shows moderate atherosclerosis. Which of the following conditions is most likely to have given rise to these findings ?
a) Saddle pulmonary thromboembolism
b) VSD
c) COPD
d) Rheumatic heart disease
e) Hypertrophic cardiomyopathy
f) Transposition of great vessels
2) A friction rub is present in a 68 YO M w/ gross diffused fibrinous pericarditis. Which of the following lab findings is most likely to be present in this patient?
a) +ve ANA at 1:512
b) Elevated ASO titer
c) Elevated renin level
d) BUN of 98 mg/dL
e) serum CK of 500 U/L
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| new_n_lost
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1. b) VSD
2. d) BUN of 98 mg/dL
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| po
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agree with
2. d) BUN of 98 mg/dL
1. c) COPD
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| new_n_lost
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Oh Yes COPD cud also be It.
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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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| kingusmle
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i go with copd...can anyone explain why bun
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| kiterunner
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a) +ve ANA at 1:512 ---- SLE causes pericarditis but 'serous' pericarditis
b) Elevated ASO titer ----- Acute Rheu. fever causes diffuse fibrinous pericarditis, but not at this age!
c) Elevated renin level ----- Don`t know why it`s up there :P
d) BUN of 98 mg/dL ------ Uremia from renal failure is the MCC of fibrinous pericarditis
e) serum CK of 500 U/L ----- AMI ud cause fibrinous pericarditis, but usually focal & over the infarction
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| tompat
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1.c
2.d
but i disagree that SLE PRODUCES serous pericarditis.
any immunologically mediated disease will produce fibrinous inflammation.
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| tompat
Forum Elite
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CRF is more common than SLE so the ans raised BUN
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| kingusmle
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| SmokyWaters
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VSD at age of 73??
COPD wud b causin corpulmonale
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