| Author | 14 Posts |
Kamsi
Forum Guru
Topics: 103
Posts: 347
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28.) A previously healthy 62-year-old man comes to the physician because of a 2-month
history of progressive shortness of breath and a mild nonproductive cough. He
does not smoke. He worked in a foundry most of his adult life before retiring 2
years ago. Vital signs are within normal limits. Crackles are heard at both lung
Bases with no wheezes. Cardiac examination shows an accentuated P2. The
remainder of the examination shows no abnormalities. An x-ray film of the chest
shows prominent interstitial markings at the lung bases. Echocardiography shows
an ejection fraction of 55%. Pulmonary function testing is most likely to show
which of the following?
A) Decreased FEV1:FVC ratio
B) Decreased maximal inspiratory effort
C) Decreased total lung capacity
D) Increased forced vital capacity
E) Normal carbon monoxide diffusion capacity
29.) A 55-year-old man is admitted to the hospital because of progressive shortness of
breath for 10 days. He has a history of chronic venous stasis and deep venous
thrombosis. He has been treated with warfarin since he had several pulmonary
emboli 2 years ago; he takes no other medication. He has smoked two packs of
Cigarettes daily for 30 years. He weighs 109 kg (240 lb) and is 165 cm (65 in) tall.
Examination shows jugular venous distention. Echocardiography is most likely to
show which of the following?
A) Left ventricular dilation
B) Mitral stenosis
C) Pericardial thickening and tamponade
D) Right ventricular hypertrophy and dilation
E) Tricuspid stenosis
31.) A healthy 42-year-old man comes to the physician for a life insurance evaluation.
He smoked one-half pack of cigarettes daily for 20 years but quit 10 years ago. His
father died of a myocardial infarction at the age of 65 years. The patient weighs 93
kg (205lb) and is 178 cm (70 in) tall. His blood pressure is 160/110 mm Hg,
pulse is 96/min, and respirations are 16/min. Physical examination, ECG, and an x-
ray film of the chest show no abnormalities. Laboratory studies are within normal
limits except for a serum cholesterol level of 206 mg/dL. Which of the following is
the greatest risk factor for cerebral infarction in this patient?
A) Genetic profile
B) History of smoking
C) Hypercholesterolemia
D) Hypertension
E) Obesity
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| dr confused
Forum Senior
Topics: 67
Posts: 108
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C D D
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| elitoki
Forum Guru
Topics: 54
Posts: 508
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28)C. this is restrictive lung disease.
29) D. He has Pulmonary disease and back flow of the overload of pulmonary vein will cause dilation of Right Ventricle. ( Right heart failure)
30) D. the most important risk factor for Stroke is HTN.
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| kpmle2
Forum Elite
Topics: 33
Posts: 297
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28) C) Decreased total lung capacity
29 ) D) Right ventricular hypertrophy and dilation
31 )Is it D or B?
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| dr confused
Forum Senior
Topics: 67
Posts: 108
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D for sure!!
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| Kamsi
Forum Guru
Topics: 103
Posts: 347
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thanks guys
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| RitaM
Forum Newbie
Topics: 1
Posts: 61
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For the second question I was thinking of tamponade.Because of distension of the neck veins which is a part of the becks triad.
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| tamerbashir
Forum Elite
Topics: 20
Posts: 284
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C D D 
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| sherry39
Forum Junior
Topics: 3
Posts: 105
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CDB as 3rd ask about infarction not hemmorhage
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| liliaeliz
Forum Elite
Topics: 38
Posts: 351
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1 c
2d
3 hypercholesterolemia
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| peter90036
Forum Elite
Topics: 28
Posts: 315
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the greatest risk factor for stroke (hemorr or isch) is HTN.
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| liliaeliz
Forum Elite
Topics: 38
Posts: 351
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thanks peter
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| lq2006
Forum Elite
Topics: 43
Posts: 382
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C
D
D
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| guangyu
Forum Elite
Topics: 29
Posts: 308
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C
D
D
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