A 55-year-old man has been diagnosed with Stokes-Adams syndrome. Two minutes after the syndrome starts active blockade of the cardiac impulse, which of the following is the pacemaker of the heart?

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Question 1 of 5

A 55-year-old man has been diagnosed with Stokes-Adams syndrome. Two minutes after the syndrome starts active blockade of the cardiac impulse, which of the following is the pacemaker of the heart?

Correct Answer: C

Rationale: In Stokes-Adams syndrome, after complete block, Purkinje fibers take over as the pacemaker at a slower rate.

Question 2 of 5

A patient with high pH levels and increased HCO3- in blood. He will most likely be presenting with:

Correct Answer: B

Rationale: High pH and increased HCO3- indicate metabolic alkalosis, often from hypoventilation retaining CO2.

Question 3 of 5

Which type of hypersensitivity is rheumatic fever?

Correct Answer: B

Rationale: Rheumatic fever is a type II hypersensitivity reaction due to molecular mimicry.

Question 4 of 5

The most frequent cause of aortic valve incompetence and regurgitation is:

Correct Answer: C

Rationale: Rheumatic fever is the most common cause of aortic regurgitation due to valve scarring.

Question 5 of 5

In which of the following scenarios are ACE inhibitors contraindicated?

Correct Answer: A

Rationale: ACE inhibitors are contraindicated in pregnancy due to teratogenic risks.

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