Group (A) 39

A 72-year-old woman was admitted to the acute medical unit with central chest pain. She described the pain as similar to her previous myocardial infarction five weeks ago. On further questioning she stated that she had a stent in the ‘right side of her heart’. The ECG confirmed ST elevation in II, III, and aVF. She was taking aspirin, clopidogrel, ramipril, and simvastatin.What would you prescribe for the patient prior to coronary angiography?

A worried foundation doctor showed you an ECG that she was concerned about. The patient had been admitted with episodes of dizziness but was otherwise well. He was haemodynamically stable.

A 64-year-old man presents to the office with chest discomfort and mild shortness of breath that started one hour ago after an argument with his wife. He has a long history of hypertension and diabetes mellitus. His blood pressure is 180/1 00 mmHg and his heart rate is 100/min. An EKG taken in the emergency department shows no signs of acute ischemia. Cardiac auscultation in the left decubitus position on full expiration reveals a presystolic sound. Which of the following best explains this physical examination finding? 😐

67-year-old man comes to the emergency department due to progressive shortness of breath and chest tightness. He has had no lightheadedness or syncope. The patient takes lisinopril for hypertension and metformin for type 2 diabetes mellitus. He has smoked a pack of cigarettes daily for the last 40 years. The blood pressure cuff is inflated to 140 mm Hg and the pressure is released very slowly. At 120 mm Hg, intermittent Korotkoff sounds are heard only during expiration. At 100 mm Hg, Korotkoff sounds are heard throughout the respiratory cycle. Item This physical examination finding can be seen in which of the following conditions?

56-year-old man presents to the accident and emergency department with a2-hour history of central chest pain radiating to the left arm. He is anxious,nauseated and sweaty. His pulse rate is 120/minute in sinus rhythm and the ECGreveals tall R wave in leads V1, and V2. The troponin level is significantly raised. This is certainly acute MI. Which is the most likely coronary vessel to be occluded?

A 44-year-old woman attends her local accident and emergency department with ahistory of at least six months of frequent central chest pain in the early morning or during the night. She had no chest pain on exertion. This had been a particularly severe attack, lasting over 2 hours. Her pulse rate is 84/minute in sinus rhythm, and blood pressure is 134/86 mmHg. The ECG shows anterior ST segment elevation, but troponin levels do not rise. Subsequent coronary angiography is normal. What is the most likely diagnosis?

📦دوام النظري يوم غدٍ السبت كما في الجدول كالتالي : 🔸المحاضرة الاولى : 🫂 الدكتور/ة : عقيل الشامي 💳 سيتم عمل المحاضرة السابقة ومحاضرة الغد عبر الزوم وسيتم إبلاغكم باليوم والوقت لاحقًا ، كما تم تقديم محاضرة الدكتور أكرم بشر .. 🔸المحاضرة الثانية : 🫂 الدكتور/ة : أكرم بشر 🕖 الوقت: 12:15 ظهرًا 💻 الموضوع : Dyslipidaemia 📌المكان : مستشفى الثورة - قاعات النسائية - الدور الأخير( السطح ) . #Group_A

‼️شباب أول ماتدخلوا الغوا المايك والكاميرا لانهم ينفتحوا تلقائي ، منتظرين الباقين يدخلوا وعيبدأ بعد شوي ..