A 55-Year-Old Man Comes to the Emergency Department Due to Sudden-Onset

question 76

Multiple Choice

A 55-year-old man comes to the emergency department due to sudden-onset dyspnea.  Medical history is significant for hypertension, hyperlipidemia, type 2 diabetes mellitus, and chronic kidney disease.  The patient takes multiple medications and has no drug allergies.  He works for an international bank and returned from a business trip in Australia a day ago.  Blood pressure is 110/70 mm Hg and pulse is 110/min.  Physical examination shows a moderately overweight man with tachypnea.  The lungs are clear on auscultation.  ECG shows sinus tachycardia.  Ventilation/perfusion scanning is ordered.  Which of the following findings would help confirm the suspected diagnosis in this patient?

• A)Absence of ventilation and perfusion abnormalities
• B)An area showing both ventilation and perfusion defects
• C)A perfusion defect without an associated ventilation defect
• D)A ventilation defect without an associated perfusion defect
• E)Several small areas of matched perfusion and ventilation defects

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Definitions:

Writ of Execution

A court order granting permission to enforce a judgment, typically by allowing for the seizure or sale of the debtor's property.

Record Mortgage

A legal document indicating a mortgage loan has been registered with the local government land office, making it part of the public record.

Mortgage Loan

A loan secured by real property through the use of a mortgage note, used by purchasers of real property to raise funds to buy real estate.

Interest

Interest refers to the cost of borrowing money, usually expressed as a percentage of the principal loan amount, or the income earned from investment.