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Cardiovascular Med Surg Questions Questions
Question 1 of 5
A 63 y/o female presents with dysphagia. Physical examination demonstrates a goiter, irregular to palpation. A nodule is identified by thyroid ultrasound. Which of the following would make the nodule more suspicious?
Correct Answer: D
Rationale: Microcalcifications on ultrasound are highly suspicious for malignancy.
Question 2 of 5
Patient in question I is now 6 months post gastric bypass and has lost a significant amount of weight, but has been found to have significant normocytic anemia with low levels of both serum B12 and Iron. What is the most likely mechanism for the development of these deficiencies?
Correct Answer: D
Rationale: Gastric bypass surgery bypasses the duodenum and proximal jejunum, where iron and vitamin B12 are primarily absorbed, leading to deficiencies.
Question 3 of 5
Vinyl chloride exposure is most commonly associated with which malignancy?
Correct Answer: D
Rationale: Chronic vinyl chloride exposure is linked to hepatic angiosarcoma, a rare liver cancer.
Question 4 of 5
Sitting with your kids, a cat with her kittens that you have never seen before, shows up on your porch. Of course, your kids are excited to see them and promptly begin playing with them, suffering numerous scratches and small bites as a result. After they are gone, you begin to wonder if there are any infectious disease issues associated with this event. Assuming you love your kids, which of the following is most worrisome?
Correct Answer: B
Rationale: Rabies is the most worrisome due to its high mortality rate if not treated promptly.
Question 5 of 5
Which of the following is true regarding fluid management in AKI?
Correct Answer: B
Rationale: More conservative fluid resuscitation is associated with lower mortality in AKI, as excessive fluids can worsen outcomes by causing fluid overload.