Sample Quiz
Sample Quiz - More to come!
1 / 4
Category: Cardiology
A 58-year-old male presents with chest pain that has been occurring intermittently for the past two weeks. The pain is described as a pressure-like sensation in the chest, radiating to the left arm, and typically occurs with physical exertion. The pain resolves with rest. His blood pressure is 138/85 mm Hg, and his heart rate is 80 bpm. An ECG shows no significant abnormalities. What is the most likely diagnosis?
The patient's symptoms of intermittent chest pain triggered by exertion and relieved by rest, along with no significant findings on the ECG, are most consistent with stable angina pectoris. Stable angina occurs due to atherosclerotic narrowing of coronary arteries, which reduces blood flow to the heart muscle during physical activity.
2 / 4
A 72-year-old woman presents to the clinic with increasing shortness of breath, particularly when lying flat. She also notes swollen ankles and a persistent cough. On examination, you find bilateral lower extremity edema, an S3 heart sound, and crackles on lung auscultation. Which of the following is the most likely cause of her symptoms?
This patient’s symptoms of shortness of breath (especially orthopnea), bilateral lower extremity edema, and an S3 heart sound, along with crackles on lung auscultation, suggest congestive heart failure (CHF). CHF can result from various causes, including hypertension, coronary artery disease, or valvular heart disease. The S3 sound is a classic sign of volume overload in the left ventricle, common in heart failure.
3 / 4
Category: Neurology
A 32-year-old woman visits her doctor complaining of intermittent tingling and numbness in her legs that started a few months ago. She also mentions experiencing occasional blurry vision, extreme fatigue, and difficulty maintaining balance while walking. A neurological exam reveals weakness in her lower limbs and hyperreflexia. An MRI of her brain shows multiple white matter lesions, and a lumbar puncture reveals oligoclonal bands in the cerebrospinal fluid.
Incorrect
Correct
The patient's symptoms of intermittent tingling, numbness, blurry vision, fatigue, and balance difficulties are classic signs of multiple sclerosis (MS), a chronic autoimmune disease that affects the central nervous system. The presence of white matter lesions on MRI and oligoclonal bands in the cerebrospinal fluid further supports this diagnosis.
4 / 4
A 46-year-old male presents with palpitations and dizziness. He has a history of hypertension, and his blood pressure is 150/95 mm Hg. On examination, his heart rate is irregularly irregular at 130 bpm. An ECG shows atrial fibrillation with no apparent underlying structural heart disease. What is the most appropriate initial treatment?
Atrial fibrillation (AF) is the diagnosis in this patient with an irregularly irregular rhythm. The initial management of AF in a patient without underlying structural heart disease typically involves rate control with beta-blockers or calcium channel blockers. These drugs reduce the heart rate and prevent tachycardia-associated complications. Anticoagulation therapy may be initiated later based on stroke risk.
Your score is
Restart quiz