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  #1  
Old 03-21-2012
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Heart Common clinical feature among three cardiology patients!

In a hospital cardiac care unit, there are three patients with different cardiac conditions: a 52-year-old man with dilated cardiomyopathy, an 18-year-old girl with mitral valve prolapse, and a 30-year-old man with infective endocarditis of the mitral valve. Which of the following features do all these patients most likely share?

A) Decreased compliance
B) Depressed myocardial contractility
C) Infectious etiology
D) Mitral valve stenosis
E) Risk of systemic thromboembolism
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  #2  
Old 03-21-2012
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i guess Risk of systemic thromboembolism
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I think it's E
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Old 03-21-2012
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Default eeeeee

i wil go with E
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E) Risk of systemic thromboembolism
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Old 03-21-2012
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yeah....i would like to stick to (e)risk of systemic thromboembolism
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This question reminded me of this picture:



p.s: the girl was transfered to other unit, cuz she embolized...
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Common clinical feature among three cardiology patients!-arnold-schwarzenegger-stallone-hospital.jpg  
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Quote:
Originally Posted by DocSikorski View Post
This question reminded me of this picture:



p.s: the girl was transfered to other unit, cuz she embolized...
this is the whole story :
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Quote:
Originally Posted by beka-CTS View Post
this is the whole story :

Ok, this one is from Step 1 2013:

A man with a mustache has kicked his enemy in a face. The energy released from the kick has brought the man back in time to 1939 where the man was able to kill Hitler and prevent WWII (2nd world war)

Data from the evaluation:

mustache color - brown
Beard length - not too long.

What is hidden behind this man's beard:

a. gun
b. 3rd fist
c. second beard
d. chin
e. double chin
f. tripple chin
g. ...third nipple?
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Quote:
Originally Posted by DocSikorski View Post
Ok, this one is from Step 1 2013:

A man with a mustache has kicked his enemy in a face. The energy released from the kick has brought the man back in time to 1939 where the man was able to kill Hitler and prevent WWII (2nd world war)

Data from the evaluation:

mustache color - brown
Beard length - not too long.

What is hidden behind this man's beard:

a. gun
b. 3rd fist
c. second beard
d. chin
e. double chin
f. tripple chin
g. ...third nipple?


good one

Every Medical student who's trying to get in us residency has to know the answer it's B people ! holy III Fist
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Quote:
Originally Posted by beka-CTS View Post
good one

Every Medical student who's trying to get in us residency has to know the answer it's B people ! holy III Fist
I need to find time to shoot an email to Goljan, saying that he should include "Chuck Norris tears" into his anticancer medications. Btw Chuck Norris tears work instantly, during the whole cell cycle...
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  #12  
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Quote:
Originally Posted by DocSikorski View Post
I need to find time to shoot an email to Goljan, saying that he should include "Chuck Norris tears" into his anticancer medications. Btw Chuck Norris tears work instantly, during the whole cell cycle...
morbus chuck norris
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hahah you guys are hilarious! ... wait till Jet Li hears about these Chuck Norris jokes! He will be unleashed! lol
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Default Very lengthy explanation but worth the read!

The correct answer is E. Systemic thromboembolism may develop in each of these patients. Vegetations associated with infective endocarditis may undergo fragmentation and result in systemic thromboembolism. Stasis develops in dilated ventricles, which predisposes to formation of thrombi attached to the ventricular walls (mural thrombi). Mural thrombi may also form within the left atrium in the presence of mitral valve prolapse. Thromboemboli may originate from mural thrombi.

Decreased compliance (choice A) is a pathophysiologic alteration present in a variety of cardiac disorders in which there is impediment to expansion or relaxation of ventricular walls, such as restrictive cardiomyopathy, hypertrophic cardiomyopathy, and constrictive pericarditis. This feature is not present in any of the conditions described in the question.

Depressed myocardial contractility (choice B) results from conditions that impair myocardial inotropism, such as dilated cardiomyopathy and ischemic heart disease. Depressed inotropism is not present in infective endocarditis or mitral valve prolapse.

Of the three conditions in the question stem, only infective endocarditis is definitely related to an infectious etiology (choice C), usually bacteria. Recall that mitral valve prolapse is due to myxomatous degeneration of the mitral valve, sometimes associated with Marfan syndrome. The etiology of dilated cardiomyopathy is heterogeneous, and most cases are idiopathic. Of the remaining cases, viral infections, toxic insults (especially alcohol), metabolic disorders (hemochromatosis), pregnancy, and genetic influences are the underlying causes.

Mitral valve stenosis (choice D) may develop as a result of vegetations forming on the mitral valve and occluding the valvular orifice. Endocarditis of the mitral valve more often leads to mitral insufficiency because of destruction of valve leaflets or rupture of chordae tendineae. On the contrary, both mitral valve prolapse (usually clinically silent) and dilated cardiomyopathy may lead to mitral valve insufficiency and regurgitation.
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I agree ..?

Risk of syst thromboembolism
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Correct Answer E) risk of thromboembolism

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