Cases&MCQs:
16-Mohamed is 56 y old, farmer, come to hospital with SOB on lying down, and has pain in legs when move to large distance.
O/E Mohamed Has lower Limb odema and Acites.
Heart Rate 80
RR 20
Other system is normal
What is your Diagnosis?
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17- A 50_year old male is admitted with a 3 hour of central chest pain ,sweating,and nausea.He has no relevant past history but his father died of M.I at the age of 48. and he is smoker. He is seen in the morning on the consultant ward round 12 hours after admission and his pain has now settled .Ex.reveals no specific abnormality and his E.C.G. is normal. Which of the following invest. would be most appropriate for this patient?
1) Coronary angiography
2). Echocardiography
3) Endoscopy
4)Exercise E.C.G.
5) Troponin T
what is diagnosis ?
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18- A 65-year-old man with a history of hypertension & diabetes mellitus is seen in the ER complaining of sudden onset of chest pain and severe dyspnea at rest. He is currently taking enalapril (5 mg twice a day) to control his blood pressure. Physical examination reveals a pale white male in acute respiratory distress. His blood pressure is 180/100 mm Hg, his apical pulse is 170 /minute and irregular, and his respiratory rate is 40 per minute. Examination of the lungs reveals rales extending two thirds up from the base of the lung fields bilaterally. Examination of the heart reveals a jugular venous pressure of 12 cm of water, a third sound (S3), and a grade 2/6 pansystolic murmur heard at the apex. Arterial blood gas determinations show a partial pressure of oxygen of 50 mm Hg, a partial pressure of carbon dioxide of 30 mm Hg, and a pH of 7.48. A chest radiograph shows an enlarged heart and pulmonary edema. The ECG reveals atrial fibrillation with a ventricular response of 170 beats per minute, a loss of R waves, and 4 mm of ST elevation
Question :
1-what is Diagnosis?
2-what is Do you mean by IHD?
3-what is Anatomy of cronary Artery and what is interpertation on ECG if some its branches occluded
4-what is presentation of IHD?
5-what is Causes of IHD?
6-what is Risk factor of IHD?
7-How can i prevented IHD?
8-what is acute cronary Syndrome?
9-what is def. Of angina pectories?
10-what is Clinical picture of Angina?
11-what is Types of Angina?
12-what is investagation used to Diagnosis angina?
13-How can i treat Angina?
14-what is MI?
15-what is Diff . Btween Angina and Mi in Symptomes ?
16-what is Types of MI?
17-mention causes of painless infraction?
18-what is complication of MI?
19-what is DD of Chest Pain?
20-what is investagation that used To Dx MI?
21-what is Tx of MI?
22- what is ischemic Cardiomyopathy
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19-A 52-year-old woman develops fatigue and dyspnea that have been worsening over approximately 6 months. She also complains of occasional palpitations. She describes a serious illness she had as a child, with fever, rash, joint pain, and difficulty controlling her movements. She recovered after approximately a month. Cardiac examination reveals a loud S1 , an opening snap, and a diastolic rumble. A chest radiograph shows an enlarged left atrium.
◆ What is the most likely diagnosis?
◆ What is the underlying mechanism for these findings?
◆ What are the complications and prognosis for this disorder?
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20-A 59 year old man presents with acute shortness of breath, epigastric pain and pulsation and . Examination reveals a pulse is irreguler and large in volume . The JVP is significantly raised, lung ezamination we heard some crakles and heart examination : loud S1 and P2 . ECG reveals ST elevation in leads III and aVF. pts say to you he vomit pink frothy sputum once Befor 4 days
a) What is the most likely diagnosis, and why ?
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General pathology questions
1/ increased lipolysis which may result from starvation . Diabetes . Or corticosteroid use is most likely to cause steatosis :
- what is steatosis ?
- what is the mechanism by which is caused ?
2/ an adult pt presents with sudden onset of massive diarrhea , diagnosed with cholera :
- what is the pathophysiology of diarrhea ?
3/ 24 year old female presents with dysmenorrhea :
- what is dysmenorrhea?
- pathology base of the treatment ?
4- define abcess ?
5- 25 year old female lost 4 pregnancies , in all 4 she developed thrombosis , she was diagnosed with protein c defficiency :
- explain the diagnosis ?
6- mention 3 causes of fatty liver
7- what is an exudate ?
8- increase in number of cells in tissues is called .............
9- Define apoptosis and give 3 examples
10- What is the roll of histamine in acute inflamation? And itis secreted from.........
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MCQ:
1)Which of the following types of infection, precedes by several weeks, the development of acute rheumatic fever?
A. Group A β-hemolytic streptococcal infection of the pharynx
B. Group D α-hemolytic streptococcal infection of the heart
C. Staphylococcus aureus infection of the lungs
D. Streptococcus pyogenes infection of the skin
E. Treponema pallidum infection of the abdominal aorta
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2-A 6-year-old boy develops fever, joint pain, and a diffuse skin rash approximately 3 weeks after recovering from a sore throat. Physical examination finds several small skin nodules, and laboratory examination finds an elevated erythrocyte sedimentation rate along with an elevated antistreptolysin O titer. Which of the following abnormalities is most characteristic of this boy’s disease?
A. Anitschkow cells within the epidermis
B. Aschoff bodies within the myocardium
C. Langhans giant cells within the dermis
D. Psammoma bodies within the endocardium
E. Virchow cells within the nasopharynx
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3-A 44-year-old woman presents with worsening fatigue and dyspnea. The pertinent medical history is that she had rheumatic fever during childhood. Physical examination finds an early diastolic opening snap with a rumbling late diastolic murmur. A chest radiograph shows an enlarged left atrium. Which of the following is the most likely diagnosis?
A. Aortic regurgitation
B. Aortic stenosis
C. Mitral regurgitation
D. Mitral stenosis
E. Pulmonary stenosis
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