Cardiac

Question 1

small renal arterioles that have luminal narrowing from concentric intimal thickening

Answer 1

Malignant hypertension

Question 2

bibasilar crackles

Answer 2

Positive blood culture for Pseudomonas aeruginosa

Question 3

soft, rumbling systolic ejection murmur

Answer 3

Pulmonary hypertension

Question 4

An ECG shows diffuse ST-T segment changes

Answer 4

Coxsackie B serologic titer of 1:160

Question 5

arthritis pain involving all extremities

Answer 5

Serum ferritin of 8700 ng/mL

Question 6

65-year-old man has had congestive heart failure with increasing pulmonary congestion and edema for the past year. He had been previously healthy all his life with no major illnesses

Answer 6

Calcified bicuspid aortic valve

Question 7

painless jaundice

Answer 7

Non-bacterial thrombotic endocarditis

Question 8

several syncopal episodes

Answer 8

Left atrial myxoma

Question 9

small hemorrhages visible on nail beds, His spleen tip is palpable.

Answer 9

Rheumatic heart disease

Question 10

23-year-old primigravida gives birth following an uncomplicated pregnancy to a 2870 gm girl infan

Answer 10

Hypoplastic left heart

Question 11

friction rub

Answer 11

Metastatic carcinoma

Question 12

worsening severe headaches over the past 3 months

Answer 12

Small mitral platelet-fibrin thrombi

Question 13

afebrile, but diffuse crackles are heard over the lung base

Answer 13

Pulmonary interstitial fibrosis