Question Bank

A 76-year-old man with a history of diabetes mellitus and hypertension presents with progressively worsening exertional dyspnea, limiting his ambulation to approximately 10 meters. On physical examination, a forceful apex beat is noted along with a harsh crescendo-decrescendo ejection systolic murmur, loudest at the right upper sternal border and radiating to the carotid arteries. What is the most likely diagnosis?

• AMitral stenosis
• BAortic stenosisCorrect answer
• CPulmonary stenosis
• DAortic regurgitation

A 50-year-old man, 6 days post-uneventful subtotal colectomy with ileocolic anastomosis, suddenly develops shortness of breath and a single episode of hemoptysis. Physical examination reveals mildly decreased breath sounds at the left lung base, normal S1 and S2 heart sounds, a soft and lax abdomen with normal bowel sounds, and no lower extremity edema or tenderness. A chest X-ray shows left basilar atelectasis. Electrocardiography (ECG) demonstrates sinus tachycardia and a newly acquired right bundle branch block. Which of the following is the most appropriate test?

• AD-dimer level
• BEchocardiography
• CCT pulmonary angiographyCorrect answer
• DLower limb Doppler ultrasound

A 6-year-old child experiences numerous daily, brief staring spells, each lasting 10-15 seconds. Teachers report sudden pauses mid-sentence, with the child immediately resuming activity without postictal confusion. Hyperventilation performed in the clinic readily provokes a typical spell. Electroencephalography (EEG) reveals generalized 3-Hz spike-and-wave discharges. What is the best initial therapy?

• AEthosuximideCorrect answer
• BValproate
• CLevetiracetam
• DCarbamazepine