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Category: Cardiology--->Peripheral Vascular Disease
Page: 10

Question 46#Print Question

A 70-year-old man is admitted to the telemetry unit for workup of dizziness of 2 days’ duration. He denies chest pain or shortness of breath. His heart rate is 60 bpm and blood pressure is 130/50 mmHg. On physical examination, a systolic murmur is heard over the left sternal border. Carotid duplex ultrasound is performed demonstrating the spectral waveforms of the bilateral internal carotid and vertebral arteries illustrated in Figure below.

Which of the following conditions is suggested by the carotid duplex waveforms? 

a. Pulmonary valve stenosis
b. Systolic heart failure
c. Pericardial tamponade
d. Aortic valve stenosis
e. Mitral regurgitation


Question 47#Print Question

A 55-year-old woman presents to the ED with precordial chest discomfort and shortness of breath. Her body mass index is 34. Her medical history includes essential hypertension, diabetes mellitus type 2, and a 30 pack-year smoking history. Laboratory results include a troponin of 2.4 mg/mL and a B-type natriuretic peptide of 840 pg/mL. An ECG reveals no ST-segment elevation and nonspecific ST-T wave changes. The ED physician requests cardiology consultation for an NSTEMI. When you arrive to see the patient you order an IV contrast-enhanced chest CT scan of the lungs. Findings are demonstrated in Figure below.

What is the diagnosis?

a. Type A aortic dissection
b. Myocarditis
c. Pneumonia
d. Saddle pulmonary embolism
e. Interstitial lung fibrosis


Question 48#Print Question

Which of the following cardiovascular risk factor assessment tools has not been demonstrated to be useful in the risk assessment for a first atherosclerotic cardiovascular event?

a. High-sensitivity C-reactive protein
b. Coronary artery calcium score
c. Carotid intima-media thickness
d. ABI (Ankle-Brachial Index)
e. Family history of premature coronary vascular disease




Category: Cardiology--->Peripheral Vascular Disease
Page: 10 of 10