Q1. A patient is on the cardiology floor with numerous complaints. While his chart is being gathered, you perform auscultation. You hear a low frequency extra sound- see below. In which of the following disorders are you unlikely to hear this sound?
A 74 yo male has just been diagnosed with ST-segment elevation anterior wall MI (STEMI) and is started on TPA. Sixty minutes later, he mentions that he has a headache and weakness in his right hand. What is the next step in his management?
You are assisting the cardiac surgeon in a patient with the x-ray features shown below. This time, it is the surgeon who is running late. He calls into the operating room and asks you to get access to the heart for coronary bypass surgery. What type of incision will you make?
Q2. Chest exam in most patients with the below anomaly will reveal?
Q1. A child is seen in the clinic and work up reveals the presence of the below vascular anomaly. What is the most likely symptom these children present with?
A 54 yo brought in by EMS because of severe head trauma and seizures. His GCS is 10 and he requires immediate intubation. After resuscitation, he is admitted to the ICU where the following evening the nurse notes his hand. Which anti-seizure drug is associated with such discoloration?
A 72-year-old female presents with new lesions on her back. She denies any recent medical issues except for her long standing hypertension and heart disease. She otherwise feels well. Exam reveals the presence of numerous dark brownish lesions that appear stuck to the skin. In general, the sudden appearance of these lesions is sometimes associated with?
