A 46-Year-Old Man with a 30-Pack-Year Smoking History Develops Right

question 38

Multiple Choice

A 46-year-old man with a 30-pack-year smoking history develops right leg pain and swelling after returning from an overseas trip.  He is diagnosed with a lower extremity deep venous thrombosis and is started on intravenous heparin.  Shortly after being hospitalized, he develops right-sided weakness and facial droop.  CT scan of the head reveals a left middle cerebral artery stroke.  Which of the following physical examination findings is most likely to be present in this patient?

• A)Diastolic decrescendo-type murmur that decreases following amyl nitrite inhalation
• B)Ejection-type systolic murmur that increases on standing
• C)Presystolic murmur that disappears with atrial fibrillation
• D)Midsystolic click that occurs earlier with inspiration
• E)Wide splitting of S2 that does not change with respiration

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Definitions:

Par

A term that refers to a financial instrument trading at its face or nominal value.

Rate

The percentage at which a particular event occurs, often used in the context of interest or growth rates.

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Capital paid by a corporation to its shareholders, mostly extracted from the enterprise's earnings.

Required Rate

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