Order Congenital Heart Disease Discussion Order 5980213 Order Congenital Heart Disease Discussion 1 A 3-year-old patient presents to you for evaluation secondary to a referral from his pediatrician for a murmur. You diagnose the patient with a functional murmur. Common characteristics of this murmur include all of the following, except: (A) Often described as musical or ‘‘twanging string’’ (B) Normal electrocardiogram (EKG) and chest radiograph […]

Insertion Of An Implantable Cardioverter Defibrillator Order 5983120 Insertion Of An Implantable Cardioverter Defibrillator 1 Which of the following statements regarding endomyocardial biopsy or temporary pacemaker lead placement is false? (A) The rate of perforation during right ventricular biopsy is 0.3% to 5% (B) Tamponade and circulatory collapse follow right ventricular perforation 75% of the time (C) Pericardial haemorrhage complicates 0.1% to 3.3% of left […]

Buy History Of Tuberculous Pericarditis Order 5988921 Buy History Of Tuberculous Pericarditis In the setting of aortic dissection, which of the following statements is incorrect? (A) Pericardial effusion coincides with 17% to 45% of cases (B) Pericardial tamponade occurs most frequently with a De-Bakey type I dissection (C) Pericardiocentesis may cause extension of the dissection (D) Surgery should be performed as soon as possible 8 […]

Percutaneous Balloon Pericardiotomy Discussion Order 5987221 Percutaneous Balloon Pericardiotomy Discussion 1 A 61-year old woman with recent tricuspid valve repair presents with increasing dyspnea, orthopnea, and presyncope. The patient was hypotensive, with distended jugular veins, and distant heart sounds on physical examination. On the basis of the hemodynamic tracing from the right ventricle (RV) shown in the following figure, which of the following statements is […]

Order Cerebrovascular Interventions Discussion Order 5980213 Order Cerebrovascular Interventions Discussion All the following statements pertaining to strokes are true, except: (A) Of all strokes, 88% are ischemic in etiology and 12% are hemorrhagic (B) When on aspirin, the risk of stroke in an asymptomatic patient with carotid stenosis 60% (C) Among patients with symptomatic carotid disease (those with prior transient ischemic attack [TIA] or strokes), […]

Percutaneous Balloon Mitral Valvuloplasty Discussion Order 59081011 Percutaneous Balloon Mitral Valvuloplasty Discussion 1 Dr. Y has just performed his second inflation across a congenitally stenotic pulmonary valve using a single balloon technique. The pre- and postprocedural pressure curves are obtained. The next most appropriate action would be to: 75 50 25 PA PA RV RV Preprocedure Postprocedure (A) Conclude that the procedure is a success […]

The Signs And Symptoms Of Significant MS Order 5908350 The Signs And Symptoms Of Significant MS 1. A 90-year-old former congressman is referred to you for possible aortic valvuloplasty. He has significant chronic obstructive lung disease and has had a prior biventricular pacer with implantable defibrillator placed owing to congestive heart failure and an LV ejection fraction of 28%. The biventricular pacemaker has not improved […]

Valvuloplasty and Percutaneous Valve Replacement Order 5983192 Valvuloplasty and Percutaneous Valve Replacement 1 Each of the following disorders can cause an elevated gradient between the pulmonary capillary wedge pressure (PCW) and the left ventricular diastolic pressure, except: (A) Mitral valve stenosis (B) Primary pulmonary hypertension (C) Pulmonary veno-occlusive disease (D) Cor triatriatum (E) Pulmonary vein stenosis 2 A 60-year-old woman with prior mitral commissurotomy for […]

The Pathological Diagnostic Features Of Glioblastoma Order 5998092 The Pathological Diagnostic Features Of Glioblastoma Question 1 What is Hib meningitis? Question 140 How often is tuberculosis a cause of chronic meningitis in comparison to other causes? Question 141 Is cavernous sinus thrombosis a complication of meningitis? Question 142 What is the mechanism of paraparesis that comes as a late (i.e. postresolution) complication to meningitis? Question […]

Buy The Management Of Meningococcaemia Order 5899092 Buy The Management Of Meningococcaemia Question 1 Does a lesion of Guillain–Mollaret’s triangle in the brain stem cause a type of myoclonus other than symptomatic palatal myoclonus? Question 124 1. In West’s syndrome, after the fits have been suppressed, for how long should treatment with adrenocorticotrophic hormone (ACTH) continue? 2. Does complete suppression of resistant infantile myoclonic jerks […]