B.U.C.O.M Qbank
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Your space to cultivate ur clinical knowledge through case based clinical reviews that sourced from different sources such as uw , amboss and others . It's administered by students from Babylon university college of medicine .
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An obese 37-year-old woman is brought to the emergency department 2 hours after the onset of weakness in her left arm and leg. She fell from the stairs the day prior but did not have any loss of consciousness or nausea after the fall. She travels to Asia regularly on business; her last trip was 4 days ago. She has no history of serious illness. Her only medication is an oral contraceptive. Her temperature is 37.8°C (100°F), pulse is 113/min and regular, and blood pressure is 162/90 mm Hg. Examination shows decreased muscle strength on the left side. Deep tendon reflexes are 4+ on the left. Babinski sign is present on the left. The right lower leg is swollen, erythematous, and tender to palpation. Further evaluation is most likely to show which of the following?
A 2-year-old boy is brought to the physician by his mother for a well-child examination. He feels well. He was born at 40 weeks' gestation and weighed 3100 g (6 lb 13 oz). There is no personal or family history of serious illness. His immunizations are up-to-date. He is at 70th percentile for height and 55th percentile for weight. Vital signs are within normal limits. Cardiac auscultation is shown. When he clenches his fist forcefully for a sustained time, the intensity of the murmur increases. Which of the following is the most likely diagnosis?
A 4-day-old male infant is brought to the physician because of respiratory distress and bluish discoloration of his lips and tongue. He was born at term and the antenatal period was uncomplicated. His temperature is 37.3°C (99.1°F), pulse is 170/min, respirations are 65/min, and blood pressure is 70/46 mm Hg. Pulse oximetry on room air shows an oxygen saturation of 82%. A grade 3/6 holosystolic murmur is heard over the left lower sternal border. A single S2 that does not split with respiration is present. Echocardiography shows defects in the interatrial and interventricular septae, as well as an imperforate muscular septum between the right atrium and right ventricle. Further evaluation of this patient is most likely to show which of the following?
