By Sukhpreet Singh Dubb; et al

500 SBA-style questions offer useful counsel and exam perform for these in instruction for clinical finals and beyond.

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Extra resources for 500 Single Best Answers in Medicine

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There is a mid-systolic murmur maximal at the aortic area, and radiating to the back. Clinical findings and the ECG are compatible with left ventricular hypertrophy. What is the most likely underlying pathology? A. B. C. D. E. Hypertrophic obstructive cardiomyopathy Congenital aortic stenosis Coarctation of the aorta Patent ductus ateriosus Atrial septal defect 21. Ventral septal defect A 16-year-old boy is diagnosed with a small ventricular septal defect, having been screened by echocardiography because of a family history of hypertrophic obstructive cardiomyopathy.

A. B. C. D. E. Asthma Chronic obstructive pulmonary disease (COPD) Left ventricular failure Chronic bronchitis Lung fibrosis 2. 1°C) and a cough productive of green sputum. The observations show a pulse rate of 101, BP 80/60 and respiratory rate of 32. She is alert and orientated in space and time. 5 and chest x-ray shows a patch of consolidation in the lower zone of the right lung. She is treated for severe community-acquired pneumonia. Which of the following is the correct calculated CURB-65 score?

The general view is that it is due to vasospasm in small coronary arteries and this is likely to respond to the effects of nitrates and calcium channel blockers such as verapamil. Beta-blockers are not effective and in theory could make it worse by aggravating vasoconstriction, but whether this actually happens is also controversial. Shortness of breath 30 C The diagnosis here is hypertrophic obstructive cardiomyopathy, which is associated with the risk of sudden death. The best answer is beta-blockers Answers 27 (C), closely followed by rate-limiting calcium channel blockers (D).

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