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Q- A 19-year-old man presents with syncope, dyspnea and chest pain with exercise. A crescendo-decrescendo murmur without carotid radiation is heard over the left sternal border. What is the most likely diagnosis?
A- Aortic stenosis
B- Hypertrophic cardiomyopathy
C- Mitral stenosis
D- Myocardial infarction

Q- A 40-year-old man presents with shortness of breath after a motor vehicle accident. Examination reveals decreased breath sounds in the right side, hypotension and subcutaneous emphysema. What is the most likely diagnosis?
A- Injury to the esophagus
B- Injury to the lung tissue
C- Injury to the myocardium
D- Injury to the right bronchus

Q- A 60-year-old woman presents with severe tearing abdominal pain, nausea and dizziness. The patient is pale and lethargic with blood pressure of 80/50 and diffuse abdominal tenderness. There is no past history of similar episodes. What is the next step?
A-Amylase and lipase levels
B- Exploratory laparotomy
C- Laparoscopy
D- Ultrasound

Answer and Explanation
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