6. A30,yearoté woman wih Maran syndrame ls brought tthe omargency deparmont 20 minutes ater he onset of sting chest pal. An echocardlogram obtinod year 290 ‘honed the sore root tobe 55 ern (N.S stoppod taking hr prsribedpoorancl # year ago because fatigue, Her ple ie 120min, ang blond pogeue 040 mm HG. Fhyciea examination shows jyulrvercus distro 8 cm above the soral erg hat dos rot docroae th nein. The port of raximum impulse ret palpable, and he hea seund anne’ be dsingiehes, Which he folowing sts o Shige e moe Hedy on carci eatnatozaton of ha pain? Fight Atrial Pulmonary Capilry Pulmonary Diastolic ‘Sratemie Vascular cardiac nde reseure ‘Wedge Preseure “Atal Pressure ‘Resistance, ‘Uranim (omg) (em) ‘eum Hg) (yn lem?) corer) ono) (518) (ier) errro-ts00) a” 20 2 5 é ‘00 5) 20 5 ® 6 200, ° 20 8 o 2 200 5) 40 2 5 c ‘00 5 40 5 5 5 200 A 40 8 e 2 0027. A 70-year-old man develops a progressive disinhibition syndrome characterized by episodes of emotional outbursts, inappropriate use of language, and socially inappropriate behavior. Which of the following labeled structures is most likely damaged? A) B) Cc) D) E) F) G) H) )) J)88, A 10-year-old gi has 2 sgt aif 2-nm subcutaneous nodule on ner hin, Ton weeks ago, she required autres ater sme faceted he cin laying bastetal A photoricry-agn of issue oblaned on biopsy ef the nodules row Which othe ‘Stoning best dosenbes te parwegic ates? 1) Amyiol ©) Granulation Sesue ©) Granuioma D) Lympneeytc intr © B) Newt nrate48, A45-yearold man comes to the pcan because of gradually woreering heartburn over te pas 3 rents, Physical ‘eamatonsunremarkatle endoscope exarinaton of his stomach shows a thiexoned, nodular mucosa wih ne discrete ‘Gceraions A representa Sine eler-aaned gasic Doosy 4ODs) = chown, Te abnormally shown is ost commeoniy _seocitd with he development of yrich of te flowing daeaves? |) Autommune gasris 3B) Cesc dsease (¢) Crom atsease D) Glardiasis ) Popte ulcer aseaso Feu esopranis50. A-saiualy active 20,yeercld woman has had paul, erjhamatous, veslculeslons onthe vulva for 2cays. Examination by specu also sows lesons inthe vaginal vault anc Cn ne cena A piomscrogrann of scraping eta bate an unrouled sie = shown, Wish one flown athe mos nel agnosis? A) Candida vagiiis 8) Condyjometa acuminate ©) Gontal heres ) Syphis £) Thehomonas vaghats vaginitis9. A 30,year-oé woman is brought othe emergency doparmantbocause of 26 hou hoy of nausoa and veing. She hashed ype 1 eabetes melt forthe past 10 years. Sho ls orfted ara Seopy Pulse ls 180in, resprstons are Slran, and loot pressures ADO rm Hg Labarsary sles snow seum Ne" 194 mot K 82 meat Aeos 7 meee Giostse S00 maha Ursa nitrogen (BUN) 40 mga ctrl 008 Fa 14 Pro, 2inmvg Lge ut eat nd une drt. Sta gen ain anan nen of atone abne We flown hres n bonfire ox Ka 4 ou ter he ‘umritaton af nautn and slne serum ‘Atel Blood Ke HE” BUN pH Poo, » tog ot bd 3) a er ee! ©) Nochange J 0 fot DB) Nocmange 7 TF 5 rod tog ot * pot 4b tot