ECG; Congenital Heart Dz; Bacterial Urti

8 Questions | Total Attempts: 390

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ECG; Congenital Heart Dz; Bacterial Urti

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Questions and Answers
  • 1. 
    In the above patient, which ECG would be most likely seen?
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

  • 2. 
    A 21-year-old athletic Hispanic male presents to your office with the complaint of recent syncopal events.  An ECG shows:  Which abnormality is present?
    • A. 

      1st Degree AV block

    • B. 

      2nd Degree type 2 block

    • C. 

      Bundle Branch Block

    • D. 

      3rd Degree block

    • E. 

      2nd Degree type 1 block

  • 3. 
    Which of the following complications would be most likely in this patient?
    • A. 

      Paradoxical embolus

    • B. 

      Cyanosis

    • C. 

      Clbbing

    • D. 

      Eisenmenger syndrome

    • E. 

      Polycythemia

  • 4. 
    An 18-month-old African American girl is brought to the pediatrician by her mother, who reports that her child gets breathless and becomes blue around her lips and in her fingernails after crying or eating. The mother also noticed that her child often squatted while playing. Which of the following diagrams represents the most likely hemodynamics of the patient’s heart?
    • A. 

      A

    • B. 

      B

    • C. 

      C

    • D. 

      D

    • E. 

      E

  • 5. 
    A newborn African American male baby was observed at birth to be noncyanotic. The mother was known to have been infected with rubella during the pregnancy. On examination, the patient is found to have a continuous murmur that is present in both systole and diastole. A non-steroidal anti-inflammatory drug was prescribed, and on follow-up, the murmur was found to have disappeared. Which of the following is the most likely congenital heart defect?
    • A. 

      Transposition of great arteries

    • B. 

      Patent ductus arteriosus

    • C. 

      Patent truncus arteriosus

    • D. 

      Coarctation of the aorta

  • 6. 
    A 15-month-old girl is brought to the pediatrician because of 2 days of fever, decreased eating, sleeplessness, and pulling on her right ear. The right tympanic membrane is red and bulging. Which of the following applies best?
    • A. 

      Diagnosis can be made presumptively by culture of a nasopharyngeal swab for bacteria and viruses

    • B. 

      The most likely cause is Streptococcus pneumoniae, Haemophilus influenzae, or Moraxella catarrhalis

    • C. 

      The most likely cause is a respiratory virus such as rhinovirus, influenza virus, or respiratory syncytial virus

    • D. 

      Diabetes mellitus is an important risk factor for this kind of infection

  • 7. 
    A 7-year-old boy is kept home from school because he developed on the preceding day a runny nose, sneezing, puffiness under his eyes, fever, and tiredness. His mother gave him Tylenol syrup. Which of the following is NOT true?
    • A. 

      The clinical diagnosis is rhinosinusitis

    • B. 

      His illness is likely caused by rhinovirus or influenza virus or parainfluenza virus

    • C. 

      He should be treated with antibiotic for probable bacterial superinfection

    • D. 

      Swelling of epithelial lining of nasal passages and paranasal infundibula leads to obstruction of sinus cavities

  • 8. 
    • A. 

      Treatment of acute pharyngitis with penicillin or other effective antibiotic is indicated to prevent acute rheumatic fever

    • B. 

      Group A streptococci are susceptible to inhibition by bacitracin in the “A” disk on blood agar plate

    • C. 

      Streptolysin O is the virulence factor of group A streptococcus responsible for evoking a protective immune response and for causing acute rheumatic fever.

    • D. 

      Rapid antigen detection test for group A streptococcus is a more sensitive test for streptococcal pharyngitis than a throat culture.