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Kaplan Qbank USMLE



Author7 Posts
  #1

A 28-year-old female presents to the doctor complaining of syncopal episodes that last a few minutes. She is not taking any medications and has no previous medical history. EEG and EKG studies are performed and are unremarkable. An echocardiogram shows a single ball-shaped mass
dangling in the left atrium near the mitral valve.

The most likely diagnosis is

A. Angiosarcoma
B. Mesothelioma
C. Myxoma
D. Rhabdomyoma
E. Rhabdomyosarcoma


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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."

  #2

Myxoma---->MC primary cardiac tumor---->MC location----->Left Atrium( MV)------->can cause syncope and even death,with its 'ball-valve' mechanism----------->C

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"Obstacles are those frightful things you see when you take your EYES off your goal."

  #3

C.




  #4

c smiling face

  #5

c

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we are all in the gutter but some of us looking at the stars

  #6

Aashi wrote:
Myxoma---->MC primary cardiac tumor---->MC location----->Left Atrium( MV)------->can cause syncope and even death,with its 'ball-valve' mechanism----------->C

nodnod

___________________
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

The correct answer is C.

The vignette illustrates a typical presentation for a tumor of the heart. Primary cardiac tumors are rare and usually require an intensive work-up to pinpoint the diagnosis. 75% of primary cardiac tumors are benign and among these, myxoma is the most common. The tumors are usually single; the most common location is the left atrium. They may cause syncopal episodes or even shock and death due to obstruction by a "ball valve" mechanism.

Angiosarcoma (choice A) is a malignant tumor of vascular origin that can occur as a primary cardiac tumor. It is the most common malignant primary cardiac tumor, but it is still very rare. Angiosarcoma usually affects the right side of the heart.

Mesothelioma (choice B) is a benign tumor of mesothelial origin that can rarely present as a primary cardiac tumor. It is usually a small intramyocardial tumor that presents with disturbances of the conduction system of the heart.

Rhabdomyoma (choice D) is a benign tumor of muscle origin. It can occur as a primary cardiac tumor, typically in infants and children, in whom it may be associated with tuberous sclerosis. It usually occurs in the ventricles.

Rhabdomyosarcoma (choice E) is a malignant neoplasm that can also occur as a rare primary cardiac tumor. It is of muscle origin and usually affects the right heart.


___________________
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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