A 42-Year-Old Man Comes to the Emergency Department After a Syncopal

question 183

Multiple Choice

A 42-year-old man comes to the emergency department after a syncopal episode preceded by palpitations and lightheadedness.  The patient has no significant medical history and takes no medications.  He does not use tobacco, alcohol, or illicit drugs.  The patient is a computer programmer and spends most of his time indoors.  Vital signs are within normal limits with no orthostatic changes.  Heart and lung sounds are normal.  The liver span is increased with no tenderness.  The skin appears darkly tanned.  ECG demonstrates sinus node dysfunction, and echocardiography reveals abnormal diastolic relaxation of the left ventricle.  Which of the following is the most likely cause of this patient's condition?

• A)Amyloid deposition
• B)Cortisol deficiency
• C)Granuloma formation
• D)Human leukocyte antigen gene mutation
• E)Iron accumulation
• F)Lysosomal glycogen accumulation

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Definitions:

Protracted Disputes

Conflicts that are extended and difficult to resolve, often becoming entrenched over time due to the complexity of the issues and the emotions involved.

Recurrence Of Conflict

The phenomenon where conflicts re-emerge or continue over time, often due to unresolved issues or persistent underlying causes.

Alternative Dispute Resolution

A range of processes, such as mediation and arbitration, used to resolve conflicts outside of traditional judicial proceedings.

Conciliation

Conciliation is a conflict resolution process where a neutral third-party helps disputing parties to reconcile and reach a mutually satisfactory agreement, often through improving communication and understanding.