A 41-Year-Old Man Comes to the Emergency Department Due to 3

question 238

Multiple Choice

A 41-year-old man comes to the emergency department due to 3 days of fever, chills, and nonproductive cough.  The patient has also felt tired and weak during this period.  He has a history of injection drug use and has been hospitalized several times for injection site cellulitis.  Temperature is 38.3 C (101 F) , blood pressure is 125/72 mm Hg, and pulse is 112/min and regular.  Cardiopulmonary auscultation reveals scattered rhonchi and a cardiac murmur, which were not previously present.  Laboratory evaluation shows leukocytosis, and chest x-ray reveals nodular opacities. Echocardiography of this patient is most likely to reveal which of the following findings?

• A)Aortic regurgitation
• B)Aortic stenosis
• C)Interventricular septal defect
• D)Mitral regurgitation
• E)Pulmonic stenosis
• F)Tricuspid regurgitation

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Definitions:

Note Receivable

An asset on the balance sheet representing money owed to the holder by a debtor, which includes an obligation to pay both the principal and interest.

Dishonoured

Refers to a financial instrument, such as a check or a bill, that is not paid upon presentation for settlement.

Maturity Value

The amount that will be received at the maturity date of an investment, including the principal and any accrued interest.

Note Receivable

A written promise that one party will pay another party a specified sum of money, either on demand or at a set future date.