A 68-year-old woman has had decreased visual acuity for the past 5 years. She has no ocular pain. Her intraocular pressure is normal. Findings on funduscopic examination include arteriolar narrowing, flame-shaped hemorrhages, and hard, waxy exudates. What is the most likely diagnosis?

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Question 1 of 5

A 68-year-old woman has had decreased visual acuity for the past 5 years. She has no ocular pain. Her intraocular pressure is normal. Findings on funduscopic examination include arteriolar narrowing, flame-shaped hemorrhages, and hard, waxy exudates. What is the most likely diagnosis?

Correct Answer: A

Rationale: Hypertensive retinopathy causes arteriolar narrowing and hemorrhages in the retina.

Question 2 of 5

Which of the following side effect is associated with Amlodipine?

Correct Answer: C

Rationale: Amlodipine commonly causes peripheral edema.

Question 3 of 5

The bundle of His is located here

Correct Answer: B

Rationale: The bundle of His is a part of the heart's conduction system and runs along the interventricular septum.

Question 4 of 5

A 10 yrs old girl develops sub cutaneous nodules over skin of her arms and torso 3 weeks after acute pharyngitis. She manifests choreiform movements and complains of pain in hip and knee joints. On auscultation, a friction rub is detected. Which of the following tests will be helpful in diagnosis of disease?

Correct Answer: A

Rationale: Antistreptolysin O (ASO) titer supports a diagnosis of rheumatic fever, indicated by post-streptococcal pharyngitis, nodules, chorea, arthritis, and pericarditis (friction rub).

Question 5 of 5

Which of the following describes a pneumonia due to Mycoplasma pneumoniae rather than Streptococcus pneumoniae?

Correct Answer: B

Rationale: Mycoplasma pneumoniae causes atypical pneumonia with an insidious onset, unlike the acute, high-fever, productive cough, and consolidation (increased fremitus) of Streptococcus pneumoniae.

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