What is the expected outcome of furosemide therapy in a patient with heart failure?

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Question 1 of 5

What is the expected outcome of furosemide therapy in a patient with heart failure?

Correct Answer: B

Rationale: Furosemide reduces fluid overload, alleviating pulmonary congestion and improving respiratory status.

Question 2 of 5

The valve between the right atrium and the right ventricle is called the:

Correct Answer: B

Rationale: The tricuspid valve prevents backflow from the right ventricle to the right atrium during contraction.

Question 3 of 5

A patient with a large non-functioning pituitary macroadenoma is found to have pan-hypopituitarism. He has had orthostasis, nausea, and weight loss for 8-12 months. Which of these would be most consistent with this?

Correct Answer: D

Rationale: Pan-hypopituitarism from a large pituitary macroadenoma impairs multiple hormone axes, including TSH secretion, leading to secondary hypothyroidism (low or normal TSH with low free T4). Visual field defects are possible but less specific here, and hypergonadotropic hypogonadism is incorrect as LH would be low.

Question 4 of 5

Which of the following is not considered part of routine initial anti-thrombotic therapy for NSTEMI patients, at time of presentation to the ER?

Correct Answer: D

Rationale: Abciximab, a IIb/IIIa inhibitor, is not part of routine initial therapy for NSTEMI; aspirin, clopidogrel, and heparin are standard per guidelines.

Question 5 of 5

48 yo woman with lung cancer presents with onset of weakness in her legs and falls. She has been having difficulty with losing control of urine. On motor exam, she presents with bilateral arm/leg weakness with increased tone. The most appropriate test would be:

Correct Answer: B

Rationale: Spinal cord compression from metastasis (lung cancer) is suspected with upper motor neuron signs and incontinence, requiring cervical-thoracic MRI.

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