Cardiology Question Set 1

A 46-year-old female complains of a chronic cough for the past 3 weeks. She was recently diagnosed with hypertension and placed on an angiotensin receptor blocker therapy (ARBs). Chest X-ray shows large nodular densities bilaterally. Bronchial biopsy showed granulomatous inflammation of the pulmonary artery. Lab investigations showed a positive cANCA with a serum creatinine of 3.6mg/dl. Urine analysis shows RBC casts and hematuria. The most likely cause for this presentation is

A 60-years-old man, chronic smoker, comes in with a history of reduced exercise tolerance over the past 5 years. In the past year, he has noticed chest pain after climbing stairs. On examination, he has a blood pressure of 160/100 mmHg. His BMI is 34. Laboratory findings include: a total serum cholesterol level of 265 mg/dL (normal reference range is 100 – 240 mg/dL) with HDL cholesterol of 22 mg/dL (normal ref. range is 40-59 mg/dL). Which of the following vascular abnormality does this patient have?

A 70-years-old woman presents to the Emergency department with a complaint of substernal chest pain upon exertion with increasing frequency over the past 4 months. She also has a history of diabetes and hypertension. She has a blood pressure of 150/100 mmHg and pulses rate of 80 beats/min with regular rhythm. She has a total serum cholesterol level of 280 mg/dL with HDL cholesterol of 30 mg/dL. An ECG shows findings consistent with ischemic heart disease. Angiography reveals 75% narrowing of coronary arteries. In which of the following locations mural thrombus is most probable to occur in this patient?

A 12-years-old young girl comes in for a routine examination where a 0.4 cm, slightly raised, strawberry color nodule on the skin of the abdomen, below the umbilicus, was noticed. She also added that this nodule has been present for many years and has not changed in color or size. Which of the following neoplasm is most probable to be associated with this nodule?

A 23-year-old male was presented with sudden loss of consciousness while pitching in a baseball game. There is no history of injury. Consciousness is regained after cardiopulmonary resuscitation. Past medical history is negative for any neurological and cardiovascular problems. Physical examination reveals a prominent a wave on the jugular venous pulse and a double apical impulse. There are no audible murmurs. An S4 is present. What is the most likely diagnosis?