Cardiomyopathy, Heart Failure, Inflammatory Heart Disease
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The heart is what many consider to be the single most important organ in the body, as it pumps blood to every other organ which allows our bodies to tick away like normal. But as such an important organ, there is a lot of serious complications that can come about with it, such as cardiomyopathy, hearth failure and heart disease. What do you know about them?
- 1.
![This 48 year old women presents with shortness of breath and a non-productive cough which has been worsening over the last 6 months. The most likely cause of her chest x-ray would be:]( "This 48 year old women presents with shortness of breath and a non-productive cough which has been worsening over the last 6 months. The most likely cause of her chest x-ray would be:")
- A.
Low output failure associated with seeing a really scary movie
- B.
Volume depletion resulting in low output failure
- C.
Decreased cardiac output secondary to cardiomyopathy
- D.
High output heart failure
- 2.
- A.
Hypertensive cardiovascular disease
- B.
Coronary atherosclerosis
- C.
Hypertrophic cardiomyopathy
- D.
Aortic stenosis
- E.
Mitral valve prolapse
- 3.
![A 24-year-old man, marathon runner and endurance athlete, suddenly develops an illness characterized by cough, high fever and severe muscle aches. Within a day he is developing signs of heart failure. Due to the severe nature of his illness a myocardial biopsy is performed, a photomicrograph of which is shown below. What is the diagnosis?]( "A 24-year-old man, marathon runner and endurance athlete, suddenly develops an illness characterized by cough, high fever and severe muscle aches. Within a day he is developing signs of heart failure. Due to the severe nature of his illness a myocardial biopsy is performed, a photomicrograph of which is shown below. What is the diagnosis?")
A 24-year-old man, marathon runner and endurance athlete, suddenly develops an illness characterized by cough, high fever and severe muscle aches. Within a day he is developing signs of heart failure. Due to the severe nature of his illness a myocardial biopsy is performed, a photomicrograph of which is shown below. What is the diagnosis?- A.
Rheumatic heart disease
- B.
Hypertrophic cardiomyopathy
- C.
Dilated cardiomyopathy
- D.
Viral myocarditis
- E.
Cardiac angiosarcoma
- 4.
- A.
Dilated cardiomyopathy
- B.
Restrictive cardiomyopathy
- C.
Viral cardiomyopathy
- D.
Arrhythmogenic right ventricular cardiomyopathy
- E.
Hypertrophic cardiomyopathy
- 5.
- A.
History of obesity and type 2 diabetes
- B.
An elevated creatine phosphokinase
- C.
Hypertension
- D.
An elevated brain naturetic peptide
- 6.A 27-year-old Caucasian male, a professional basketball player develops severe chest pain during a game. Echocardiography reveals an asymmetrically thickened interventricular septum along with a decreased end-diastolic volume. Which of the following is the most likely diagnosis?
- A.
Hypertrophic cardiomyopathy
- B.
Endomyocardial fibrosis
- C.
Heart amyloidosis
- D.
Physiologic heart hypertrophy
- 7.
![The pictures shown below represent the gross and microscopic changes of the heart of a 60 –year- old Caucasian male who died with multiple symptoms of left sided heart failure including cough and dyspnea. What laboratory test finding is most likely to be found in the patient’s medical record?]( "The pictures shown below represent the gross and microscopic changes of the heart of a 60 –year- old Caucasian male who died with multiple symptoms of left sided heart failure including cough and dyspnea. What laboratory test finding is most likely to be found in the patient’s medical record?")
- A.
High anti-double-stranded DNA antibody titer
- B.
Elevated serum p-ANCA titer
- C.
Hyperlipidemia
- D.
Antibodies against Treponema pallidum
- 8.
- A.
Reduced preload
- B.
Increased preload
- C.
Increased afterload
- D.
Decreased afterload
- 9.
![This 45-year-old patient presents with shortness of breath and a non productive cough which has worsened over several months. Based on this x-ray, the most likely diagnosis is]( "This 45-year-old patient presents with shortness of breath and a non productive cough which has worsened over several months. Based on this x-ray, the most likely diagnosis is")
This 45-year-old patient presents with shortness of breath and a non productive cough which has worsened over several months. Based on this x-ray, the most likely diagnosis is- A.
Congestive heart failure
- B.
Right-sided heart failure
- C.
Hypertension
- D.
Pulmonary edema
- 10.
- A.
Chronic combine LSHF and RSHF
- B.
Chronic LSHF
- C.
Acute RSHF
- D.
Acute LSHF
- 11.
- A.
Increased pressure overload
- B.
Reduced preload
- C.
Increased volume overload
- D.
Impaired contractility
- 12.A 60 year old hypertensive businessman, on therapy over the past 10 years, woke his wife (who slept in the same bed) at about 2AM - 3AM on three occasions over the last week, complaining of shortness of breath, cough, and palpitations. He sat up on each occasion breathing deeply, went to the open window “to get some fresh air” then returned to bed after settling down in half an hour or so.
- A.
He needs to see his doctor for hospitalization, because he is developing an acute myocardial infarction
- B.
He needs to consult his doctor for and ECG, chest X-ray and ECHO because he may be going into left ventricular failure.
- C.
His clinician told him that he was showing evidence of right-sided heart failure and would start him on therapy
- D.
His wife was worried about an allergic reaction to his evening medication (for cholesterol lowering) and his doctor agreed to change this
- 13.
![Examination of the endomyocardial biopsy obtained from a 14-year-old African girl reveals the changes shown below. What is the most likely diagnosis?]( "Examination of the endomyocardial biopsy obtained from a 14-year-old African girl reveals the changes shown below. What is the most likely diagnosis?")
Examination of the endomyocardial biopsy obtained from a 14-year-old African girl reveals the changes shown below. What is the most likely diagnosis?- A.
Viral myocarditis
- B.
Giant cell myocarditis
- C.
Rheumatic myocarditis
- D.
Dilated cardiomyopathy
- 14.
- A.
Kawasaki disease
- B.
Emdomyocardial fibrosis
- C.
Loffler endocarditis
- D.
Endocardial fibroelastosis
- E.
Cardiac amyloidosis
.JPG "This 48 year old women presents with shortness of breath and a non-productive cough which has been worsening over the last 6 months. The most likely cause of her chest x-ray would be:")
.JPG "A 24-year-old man, marathon runner and endurance athlete, suddenly develops an illness characterized by cough, high fever and severe muscle aches. Within a day he is developing signs of heart failure. Due to the severe nature of his illness a myocardial biopsy is performed, a photomicrograph of which is shown below. What is the diagnosis?")
.JPG "The pictures shown below represent the gross and microscopic changes of the heart of a 60 –year- old Caucasian male who died with multiple symptoms of left sided heart failure including cough and dyspnea. What laboratory test finding is most likely to be found in the patient’s medical record?")
.JPG "This 45-year-old patient presents with shortness of breath and a non productive cough which has worsened over several months. Based on this x-ray, the most likely diagnosis is")
.JPG "Examination of the endomyocardial biopsy obtained from a 14-year-old African girl reveals the changes shown below. What is the most likely diagnosis?")
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