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🫀 Clinical Case Challenge 📚 Source: BoardVitals — Cardiology 📝 A 27-year-old patient with no past medical history presents to clinic for a routine pre-employment assessment. The patient denies cardiopulmonary symptoms and exercises regularly. The patient has never experienced palpitations. Their presenting ECG is shown below. A repeat ECG is obtained with intermittent narrowing of the patient’s QRS to 90 milliseconds and prolongation of their PR interval to 130 milliseconds. Which of the following is the most appropriate next step in the management of this patient? ━━━━━━━━━━━━━━━ 🎓 Boardvitals — 465,000+ board questions with full explanations, images and analytics. 🌐 • #Quiz #Cardiology_Quiz

🦴 Clinical Case Challenge 📚 Source: Prometric — Rheumatology MCQs 📝 A 61-year-old man was recently admitted to the medical service for management of congestive heart failure. While hospitalized, he experiences acute and spontaneous onset of right knee pain and swelling. He has a longstanding history of seronegative nodular rheumatoid arthritis that has been refractory to disease-modifying anti-rheumatic drugs (DMARDs), including hydroxychloroquine and methotrexate, but responsive to brief courses of prednisone. On physical examination, his fingers are deformed with nodules at the proximal but not distal IP joints (see figure below). He has bilateral, cool of the olecranon bursa. His right knee is visibly swollen, erythematous, and warm to the touch and has a ballotable… ━━━━━━━━━━━━━━━ 🎓 Medustudy Hub — 465,000+ board questions with full explanations, images and analytics. 🌐 Medustudy.com • #Quiz #Rheumatology_Quiz

🫀 Clinical Case Challenge 📚 Source: BoardVitals — Cardiology 📝 A 64-year-old white male who has a history of extensive tobacco use, hypertension, hyperlipidemia, and obesity presents with acute onset chest pain. On arrival, the ECG shown below is obtained. Emergency coronary angiography reveals complete occlusion of the culprit vessel. Percutaneous coronary intervention is unsuccessful. Forty-eight hours after initial presentation, while in the coronary care unit, the patient suddenly becomes dyspneic. Their exam is notable for tachycardia, elevated jugular venous pressure, diffuse rales, and an early two-sixth systolic murmur loudest at the cardiac apex. Which of the following is most likely to account for the acute decompensation? ━━━━━━━━━━━━━━━ 🎓 Medustudy Hub — 465,000+ board questions with full explanations, images and analytics. 🌐 medustudy.com • #Quiz #Cardiology_Quiz

🫀 Clinical Case Challenge 📚 Source: BoardVitals — Cardiology 📝 A 64-year-old white male who has a history of extensive tobacco use, hypertension, hyperlipidemia, and obesity presents with acute onset chest pain. On arrival, the ECG shown below is obtained. Emergency coronary angiography reveals complete occlusion of the culprit vessel. Percutaneous coronary intervention is unsuccessful. Forty-eight hours after initial presentation, while in the coronary care unit, the patient suddenly becomes dyspneic. Their exam is notable for tachycardia, elevated jugular venous pressure, diffuse rales, and an early two-sixth systolic murmur loudest at the cardiac apex. Which of the following is most likely to account for the acute decompensation? ━━━━━━━━━━━━━━━ 🎓 medustudy.com Hub — 465,000+ board questions with full explanations, images and analytics. 🌐 • #Quiz #Cardiology_Quiz

🫀 Clinical Case Challenge 📚 Source: BoardVitals — Anesthesiology Advanced 📝 A cardiology fellow is attempting to position a Swan-Ganz catheter in a patient with cardiogenic shock by monitoring the pressure tracing as he advances the catheter. As the catheter enters the internal jugular vein, three distinct pressure peaks are visualized as shown below. Which of the following is most likely represented by the second peak? ━━━━━━━━━━━━━━━ 🎓 Medustudy Hub — 465,000+ board questions with full explanations, images and analytics. 🌐 QbankO.com • #Quiz #Cardiology_Quiz

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🪡 Clinical Case Challenge 📚 Source: Prometric — Plastic Surgery MCQs 📝 A 60-year-old man is referred for evaluation of a flexion deformity of the left long finger. Physical examination shows a thickened cord from the mid palm to the volar proximal phalanx of the long finger. The metacarpophalangeal joint cannot be extended beyond 30 degrees. A photograph is shown. Which of the following cells is most directly responsible for the contraction of the cord shown? ━━━━━━━━━━━━━━━ 🎓 Medicine Hub — 465,000+ board questions with full explanations, images and analytics. 🌐 Qbanko.com • #Quiz #GeneralSurgery_Quiz

🫘 Clinical Case Challenge 📚 Source: BoardVitals — Nephrology 📝 A 38 year old man with ESRD due to diabetes received a deceased donor kidney transplant one year ago. His immediate post-transplant course was complicated with acute rejection, which was treated with high dose steroid and anti-thymocyte globulin. Later he developed BK viremia and his mycophenolic acid was discontinued. Currently he is maintained on tacrolimus and prednisone only. His serum BK PCR is getting better, with last serum BK PCR of 12,000 copies/ml from 18,000 copies/ml. You obtained a kidney biopsy for rising creatinine, which is as below. What should be the best next step? ━━━━━━━━━━━━━━━ 🎓 Medicine Hub — 465,000+ board questions with full explanations, images and analytics. • #Quiz #Nephrology_Quiz

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