ุงููู ูุจููู ูุณุฎุฉ ุตูุชูุฉ ูููุงูู ู ุงูููุงุฉ ๐ ูุตูุญุชู ุญุงููู ุชุจุฏู ุงูููู
ุจููุฑุณ ุฎููู ููู skin ๐ ู
ููููู
ุจูุฑุฉ ุญูุจุฏุง ูุฒู cases ูุญูููู ููุชูู ู ุงูููู ุนุดุงู ุชูููู ูุงุฑููู ุญูุฒู ูู
case cvs ๐
Q1. A 55-year-old woman presents with complaints of chest pain. She states that the chest pain predictably occurs when she climbs four flights of stairs to reach her apartment or when she has been jogging for more than 10 minutes. She is particularly concerned because her mother died of a myocardial infarction at 50 years of age. Which of the following best describes this patient's state?
Q2 .Yesterday, a 60-year-old man presented to the emergency department with dyspnea, diaphoresis, and crushing substernal chest pain that radiated to his neck and left arm. When asked to describe the pain, he put his fist to the center of his chest and stated that it felt "as if someone is squeezing my heart." An electrocardiogram demonstrated changes consistent with myocardial infarction, and serum troponin I levels were elevated. If the patient unexpectedly dies today, which of the following would almost certainly be found on histologic examination
of the affected myocardium?
of the affected myocardium?
ุงููู ู
ุงุฒุงู ู
ุง ูุฑุง ุฌุฒุฆูุฉ ischemic heart disease ุงูุฃูุถู ู
ุง ูุญุงููุด ูุญู ุงูุฃุณุฆูุฉ ุจุนุฏ ููุฑุงูุง ุญูููู ููุฑุชูู ุณุงููุฉ ๐๐
Q3 .A 65-year-old man who has a long history of hypertension presents to the emergency department with tearing chest pain that radiates to the back. An electrocardiogram is normal, as are cardiac enzymes. A "stat" chest radiograph demonstrates widening of
the mediastinum. Which of the following is the most likely?
the mediastinum. Which of the following is the most likely?
Q4 .A 23-year-old man presents with fever, weight loss, malaise, abdominal pain, and myalgias. Workup reveals that the patient has polyarteritis nodosa. Which of the following is associated with this form of vasculitis?
ูุง ุฑูุช ุชุถููู ุงููู ุชุนุฑูููู
ููููุงุฉ ุจูุด ุชุนู
ุงููุงุฆุฏุฉ ๐ ูุฑุจู ูููููู
ูููุชุญ ุนูููู
.. ุจูุฑุฉ ุญูุดุฑุญ ุญู ุงูููุณุณ ููุฒู ู
ุฌู
ูุนุฉ ุฌุฏูุฏุฉ
Pathology (Caterpillar cells ๐) pinned ยซูุง ุฑูุช ุชุถููู ุงููู ุชุนุฑูููู
ููููุงุฉ ุจูุด ุชุนู
ุงููุงุฆุฏุฉ ๐ ูุฑุจู ูููููู
ูููุชุญ ุนูููู
.. ุจูุฑุฉ ุญูุดุฑุญ ุญู ุงูููุณุณ ููุฒู ู
ุฌู
ูุนุฉ ุฌุฏูุฏุฉยป