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| USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam |
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#1
09-25-2012
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69-yr old man with RHD
A 69-year-old man with rheumatic heart disease
presents to the emergency department complaining of a fever and weakness on his left side. On physical examination the patient is weak in his left upper extremity and he draws only the right half of a clock. Shortly after his presentation, the patient dies, and an autopsy is performed. A gross view of the patient’s heart is shown in the image. Which of the following is a risk factor for the type of lesion pictured? (A) Coronary artery disease (B) Hypertension (C) Mitral valve prolapse (D) Prolonged bedrest (E) Prosthetic valve replacement
__________________
Try Not To Become A Man Of Success But A Man Of Value. 
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#2
09-25-2012
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I see vegetations? so probably MVP, an already diseased MVP is prone to infectious endocarditis and mycotic emboli towards the brain which would explain the fact he developed hemineglect, prob to the right parietal lobe.
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#3
09-25-2012
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(E) Prosthetic valve replacement
__________________
A man doesn't know what he knows until he knows what he doesn't know. “What is man? He's just a collection of chemicals with delusions of grandeur.”
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