CARDIO Acute MI–abnormal T wav e, S T elevation, Q wav e, di minished QRS

Aortic v alv e & pul monic val ve c loses a. U wav e - hypoK

b. ?
a. S1 – closure of mit ral and tricuspid valves c. ?
b. S2 – closure of aortic and pulmonic valves d. ?
c. S3
d. S4 Atrial fib–(-) P wav e, F wav e, i rregularly irregular , normal QRS

Mitral v alv e op ens at a. Picket f ence – atrial flutt er

b. ?
a. Systole – mi tral valv e closed, aortic valv e open c. ?
b. Diastole – mit ral valve op en, aortic valv e closed d. ?
c. ?
d. ? PULMO

Isovolumet ric Contrac tion – both mitral and aortic valves are closed Not applicabl e with restrictiv e v entil ation d efect

a. Mitral v alv e closes a. Myastheni a Grav is

b. Mitral v alv e op ens b. Bronchiolitis
c. ? c. Obesity
d. ? d. Sarcoidosis- or cystic fibrosis

Murmur of Mitral St enosis – diastolic, usu grades 1-4, opening snap, decrescendo Mechanism of hypox emi a in atelect asis

a. Assoc with soft s1 – loud s1 a. v/q mis match

b. Grade 4 /6– grades 1-4 b. hyperv entil ation
c. Holodiastolic c. shunt
d. A2-O2 – severe MS d. low inspired O2

Austin Flint Murmur associated with bronchi ectasis EXC EPT

a. Chronic severe MR a. aspiration pn eumonia – non infectious cause

b. Chronic severe AR b. cystic fibrosis – diminished ciliary function
c. Chronic severe TR c. TB – infectious cause
d. Chronic severe PR d. None

Increase mo rtal ity in h aving c ardiac cath eter Aerosol transmission – mycoplasma, chlamydophila, coxiella (aspiration: h.influenza,
gram – bacilli, s.pneumo; inhalational: Legionella)
a. Young adult –decrease mortali ty
b. Functional cap acity 1 –decrease mortality a. Mycoplasma
c. EF >50%–d ecrease mortality(must be <30% ) b. S. aureus
d. Main left lesion c. ?
d. ?
Peripheral Vascular resist ance = 70
70y/o, femal e, DM for 10 yrs, f ev er, RR CR normal, ral es, multilobar infiltrat es on cxr.
LV function What to do?

a. First Pan Radionuclid e Angiography a. Prescribe antibiotics & s end home

b. Multi Gat ed Blood Pan el Imaging b. ER then d ecid e if ad mit
c. PET c. Admit and giv e IV antib iotic
d. SPECT d. ICU

For compl ex CHD HAP except

a. CT scan a. S. pneu mo
b. MRI b. Hib
c. MRA c. S. aureus – h ealth care assoc pneumonia
d. PET d. M. catth aral is

Attenu ated b y handgrip Strongest risk factor for asthma

a. MR a. Fami ly atop yhx

b. AR b. Obesity
c. TR c. Matern al smok ing
d. PR d. High eosinophils

Most benign murmur M. Pneumoni a – Erythema multiforme&Ecthy manodosum (P. aeruginosa – Eryth ema
Gangrenosum)
a. Midsystolic
b. Holosystolic Until what part of the lun gs is ciliat ed – Terminal b ronchioles(cilia disappears in
c. Continuous respiratory bronchioles)
d. Diastolic decrescendo
Lancet-shaped d iplococcic – S.pneu monia b. ?
c. Host individual factors
Rusty sputum – pneu mococcal pn eumonia d. None

Asthma h allmark – thickening of lamina reticul aris(pathologic hallmark: incr ease in # of Combination of drugs except
activated eosinophilia in airway epith elium)
a. Multiple organism
b. Synergism/additiv e effect
c. Great er cov erage
COM DIS d. Antagonism
e. None
Soiled h ands
Definition of AIDS
a. Alcohol based
b. Handwash a. Presenc e of s/sx
c. Scrub b. ?
d. Any of the above c. Cd4 <200/L – must be <200/uL
d. TB
Clean h ands e. Dying

a. Alcohol based Binds to sialic acid rec eptors

b. Handwash
c. Scrub a. Neuraminidas e – degrades the r eceptor and pelease virus from infect ed
d. Any of the above cells after r eplication
b. Hemagluttinin
Relat ive Brad ycardi a– with f ever, normal hear t rate c. M protein
d. NP protein
a. <60 e. none
b. >100
c. 60-100 Leptospirosis – vasculitis
d. None
DOC for typhoid fev er – chloramphen icol
Typhoid fev er transmission
T/F: M alaria c an’t b e diagnosed clinically accurat ely , empiric tx before defini tiv e tx must
a. Contact be giv en - True
b. Blood borne
c. Fecal-oral HEMA
d. Airborne
CNS prophylaxis
Shock in dengu e
a. ALL
a. Hemorrh age b. AML
b. Vasodilation c. CLL
c. Plasma l eakage d. CML
d. Acute cut aneous syndrome?
binds with factor 8
Anti-malari al dru g for radical cure b ecause it can kill h epatocyt es and all gameto cyt es
a. Antithrombin
a. Quinine b. Thromboplastin
b. Primaquin e c. Protein C-S co mplex
c. Chloroquine d. Plasmin
d. All
G1b
Findings in infect ed and uninf ected R BCs
a. ?
a. Nucleat ed RBC b. Bernard soullier
b. Reduced d eformability c. Grey..
c. Pale RBC d. Glanzman
d. All
Spleen site for erythropoietin

a. 6wks-12wks
st
1 line antimalarial d rug in th e Philippin es b. 2mos-4mos
c. 4mos-8mos
a. Chloroquine
b. ? Red urin e, pallor. Exp ected finding?
c. Clindamycin
d. Artemisin derivativ e a. Thal assemi a
b. Blister c ells
The choic e of antibiot ic tx except c. ?

a. Susceptibility of organis m Menometrorrh agi a finding

 a. Dec ferritin d. All
b. Dec ret ic e. None
c. Dec tibc
PulselssDse - Takayasu
Lymphocytosis
Eosinophilia -Churgs
a. CLL
b. Parasitic Granuloma with URTI and LR TI - W egen ers
c. ?
GASTRO
PNH dx – flow cy tometry
Most common fungal esophagit is
vWFfxn – p lat el et adh esion
a. C. albic ans
IMMUNO b. Capsulatum
c. ?
Initial pl an in pt suspect ed with vasculitis d. ?

a. Start with c yclophosphamide Not a complic ation of div erticulosis

b. ?
c. Give high dos e prednisone a. Inflammation
d. ? b. Malign ancy
e. Do serial l ab to exclude dis eases which mimic v asculitis c. Perforation
d. bleedin g
True of vasculitis except
Most common acut e pancreat itis causes
a. Inflammation and damage to bld vessels
b. Compromised vessel lumen and ischemia a. Forei gn body
c. Hetero genous group of syndrome b. Post op
d. Common among children c. Malign ancy
d. Alcohol
Immun e mediated co mplex
True of chronic p ancreati tis exc ept
a. Henochschonleinpurpura
b. Vasculitis associat ed wi th SLE a. Secretin is th e t est..
c. Seru m sickness and cutan eousvasculitis syndrome b. Gradual p ain progression
d. A&C
e. All Best treat ment fo r acut e diarrhea

True about HSP a. Hydration

b. Anti motil ity dru gs
a. Common in adults c. ?
b. Disease of childhood
c. Has seasonal occurrence Choices:
d. A&B
e. B&C a. Chrons
b. Ulcerativ e Colitis
Specific v asculitis with T ly mphocyt e with granuloma formation c. Both
d. IBS
a. PAN –pathogenic immun e complex e. none
b. Churgs
c. MPA –ANC A-associated 5-ASA and azathioprin e – C
d. Vasculitis d/t col lagen
Crypt abscess histopath – B
Neutrophil in all l ay ers of wall
Skip lesions – A
a. Churgs
b. HSP Prone to malign ancy – B
c. Wegen ers
d. PAN Alternatin g constipation and di arrh ea (Ch ange in bowel movt) –D

Lab requ ested above

a. pANCA
b. cANCA
c. Hepa B
d. Urinalysis

Smal l art ery vasculitis

a. Hemoptysis
b. Dyspnea
c. Purpura