NBME F5 S2 37yr-old dies suddenly

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NBME F5 S2 37yr-old dies suddenly

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clar697
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06/30/08 - 06:54 AM

A 37-year-old man dies suddenly. He has a history of fatigue, dyspnea, dependent edema, and decreased ejection fraction. At autopsy, the structure of the valves is normal, but all four chambers of the heart are enlarged. A mural thrombus is attached to the wall of the left atrium. Histologic examination of the heart shows hypertrophied and atrophied muscle cells. Which of the following is the most likely diagnosis?

A) Amyloidosis
B) Dilated cardiomyopathy
C) Hypertrophic cardiomyopathy
D) Myxedema heart
E) Restrictive cardiomyopathy

I chose B. Is this correct?

Ali 200736
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06/30/08 - 10:13 AM

yeah b is the rite answer as amyloidosis causes restrictive...hypertrophic just iv septum and myedema doesnt present like this

gladiator9
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06/30/08 - 01:40 PM

usmlekiller
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06/30/08 - 02:20 PM

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DrNickSaysHello
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09/25/08 - 04:15 PM

B - "All four chambers of the heart are enlarged."

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