A 44-Year-Old Man Comes to the Office Due to Transient

question 394

Multiple Choice

A 44-year-old man comes to the office due to transient vision loss in his right eye.  He has experienced fatigue, warmth, and unintentional weight loss over the last 2 months.  HIV testing 4 weeks ago was negative.  Family history is unremarkable.
The patient's blood pressure is 122/70 mm Hg and pulse is 78/min.  A faint diastolic murmur is heard at the apex.
ECG shows T-wave inversion in the lateral leads.  Two sets of blood cultures are negative.
Which of the following is the most likely diagnosis in this patient?

• A)Ascending aortic aneurysm
• B)Carcinoid heart disease
• C)Cardiac myxoma
• D)Factor V Leiden heterozygosity
• E)Hypertrophic cardiomyopathy

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Definitions:

Federal Income Tax

A tax levied by the United States federal government on the annual earnings of individuals, corporations, trusts, and other legal entities.

Net Earnings

The amount of profit that remains after all operating expenses, taxes, interest, and preferred stock dividends have been deducted from total revenue.

Hourly Rate

A rate of pay based on one hour of work, often used to compensate temporary, part-time, or freelance employees.

FICA Tax Rates

The percentages of social security and Medicare taxes that both employers and employees must pay, according to the Federal Insurance Contributions Act.