cvs quiz

a 55 years old man suden onset of severe sharp chest pain with dyspnea , on physical examination he has tachycardia with irregular heart rythm .ECG changes suggest possibility of mocardial damage involving the left lateral ventricular wall ,which of the following lab test is useful in this situation

a 66 years old man has had a friction rub for the past years , lab studies show elevated serum urea nitrogen and creatinine , which of the following pericarditis is the most likely to have

a 58 years olde man has had an enlarging abdomen for 5 months , an abdominal CT scan show a large abdominal fluid collection with nutmeg liver . a chest radiograph show a biventricular enlarged heart , which of the following cardiovascular condition is most likely to have ?

a 28 year old man develop deep venous thrombosis during a hospitalization for appendicectomy , he exhbits right hemiplegia 10 days after the operation , a CT scan of the head show an acute cerebral infarction in the distribution of the left middle cerebral artery. a chest radiograph reveals feature consistent with pullmonary hpertension . which of the following lesions is most likely to present on echocardiography ?

a 65 year old man has a sudden onset of severe abdominal pain , on physical exaination reveals pulsatile abdominal mass , which of the following condition is most likely to have ?

a 44 year old woman dies as a consequence of a stroke , at autopsy she is found to have a alrge right basal ganglia hemorrhage , she has a slightly enlarged heart whith predominantly left ventricular hypertrophy . her kidneys demonstrate smal remal arterioles that have luminal narrowing form concentric intimal thickening . which of the following is the most likely diagnosis

an autopsy study on atheroma formation was done , trying to correlate the gross apperance of the aorta with the microscopic finding , which of the following is the most likely to be the fisrt cissible gross evidence for the formation of an atheroma ?

a 72 year old man suffered a myocardial infarction involving half of the left ventricular wall 3 months ago , he now has increasing dyspnea , paroxysmal nocturnal dyspnea and orthopnea , on examination he has poor capillary filling in hands and feet . a chest Xray show pulomnary edema , no evidence of generalized oedema . which of the following is most likely diagnosis of thin man ?

a 49 year old woman had atrial fibrillation that was poorly controlled , she suffered a stroke and dies , at autopsy her heart is noted to have a mitral valve with partial fusion of leaflets along with shortening and thickening of the corda tendineae , there is an anlarged left atrium filled with miral thrombus whick of the following underlying disease is the most likely to have ?

a 45 year old woman had a stroke with resultant inability to move her left leg and difficulty moving her left arm one month ago , a chest radiograph reveals a near normal left ventricular size with dilated left atrium , which of the following condition is mostl likely to account for these findings ?