A 32-Year-Old Man Is Evaluated in the Emergency Department Due

question 18

Multiple Choice

A 32-year-old man is evaluated in the emergency department due to fever, night sweats, and chills over the last several days.  The patient has been using intravenous drugs recently as he is "stressed out."  He has otherwise been in good health with no medical problems.  Temperature is 38.3 C (101 F) , blood pressure is 120/80 mm Hg, and pulse is 105/min and regular.  Further evaluation reveals aortic valve endocarditis with an intracardiac abscess and small fistula formation between the aortic root and right ventricle.  Doppler ultrasound interrogation of the fistula will most likely reveal which of the following blood flow patterns?

• A)Flow from the aortic root to the right ventricle continuously
• B)Flow from the aortic root to the right ventricle only in diastole
• C)Flow from the aortic root to the right ventricle only in systole
• D)Flow from the right ventricle to the aortic root continuously
• E)Flow from the right ventricle to the aortic root only in diastole
• F)Flow from the right ventricle to the aortic root only in systole

---

Definitions:

Subjective Performance Measures

Evaluation metrics based on personal judgments or opinions rather than quantifiable data, often used in performance reviews.

Frame-of-Reference Training

Training designed to standardize the evaluation criteria and rating scales used by evaluators, typically in the context of performance appraisal.

Structured Interviews

An interview method where all candidates are asked the same predetermined questions in the same order to ensure fairness and consistency.

Morning Bias

A tendency to show more favorable reactions or evaluations in the morning due to biological or psychological factors.