32 Cardio Path-8

Question 1

A 29 year man presents to the clinic with allergic granulomatosis and angiitis and peripheral eosinophilia. What is a possible complication of this condition?

A. MI 
B. Acute renal failure 
C. Loss of vision 
D.Fatal myocarditis 
E. Numbness of upper limbs

RFA

Answer 1

ANS D. Fatal myocarditis

A. MI- Kawasaki

B. Acute renal failure- Wegner

C- Loss of vision- GCA

E. Numbness of upper limbs-Takayasu

Question 2

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Answer 2

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Question 3

An otherwise healthy 32 year old man dies suddenly from a thin-walled aneurysm in the circle of willis. What is the most cause of this?

A.  AD PKD 
B. syphilis infection 
C. Strep infection 
D. Marfan's syndrome 
E. Artherosclerotic build up 

RFA

Answer 3

Ans. AD PKD- berry aneurysms are related to AD PKD

B. Syphilis infection- usually effect the vaso vasorum and then the thoracic aorta

C. Strep infection- can affect the cerebral vessels but the “other wise healthy portion” would have elimated this since strep infections usually show sign of strep throat and fever

D. Marfans- Fibrillin-1 defect associated with aortic dissection and valve lesions

E. Artherosclerotic build up- causing an anerurysim would be more likely in older people and usually happens in the AAA.