A 32-Year-Old Man Comes to the Emergency Department with a 3-Day

question 298

Multiple Choice

A 32-year-old man comes to the emergency department with a 3-day history of fever, cough, and weakness.  Blood pressure is 120/80 mm Hg and pulse is 110/min.  Physical examination shows multiple needle tracks on the patient's arms.  ECG shows sinus tachycardia but is otherwise normal.  Chest x-ray reveals scattered round lesions in the peripheral lung fields bilaterally.  Which of the following accompanying findings is most likely present in this patient?

• A)Diastolic murmur heard best with the patient sitting up
• B)Paradoxical splitting of S2
• C)S4 when patient is in the left lateral decubitus position
• D)Systolic murmur that increases on inspiration
• E)Systolic murmur that increases when the patient stands up

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Definitions:

Horizontal Line

A straight line that has a constant y-coordinate for all its points, indicating it is parallel to the x-axis.

Slope

The measure of steepness or incline of a line, indicating the rate of change between two variables.

Continually Changing

Describes a state of constant evolution or modification, not remaining static.

Variable on the Vertical Axis

Refers to the dependent variable in a graph or chart, plotted along the vertical (Y) axis, whose value depends on the independent variable.