Temporal arteritis is characterized by

1
Temporal arteritis is characterized by (A)
catarrhal inflammation (B) gangrenous
inflammation (C) granulomatous inflammation (D)
phlegmonous inflammation (E) pyogenic
inflammation
2
A 40-year-old woman is admitted for evaluation of
hematuria. In addition, the patient is noted to
suffer from chronic sinusitis and ulcerative
lesions are noted in the nasal cavity. Which of
the following laboratory test results would be
most helpful in confirming the diagnosis? (A) low
serum complement levels (B) positive
anti-glomerular basement membrane antibodies
(anti-GBM) (C) positive anti-nuclear antibody
(ANA) (D) positive cytoplasmic -
anti-neutrophilic cytoplasmic antibody (C-ANCA)
3
A 60-year-old man had a 3-month history of severe
throbbing pain and tenderness over the left
temple. He now presents with blindness. The
most likely cause of the blindness is (A) giant
cell arteritis (B) Raynaud disease (C)
rheumatoid arteritis (D) syphilitic arteritis
(E) thromboangiitis obliterans
4
A diagnostic feature of Wegener granulomatosis is
(A) angiitis (B) eosinophilia (C) foreign
body type giant cells (D) localized lesion of
the lung (E) non-necrotizing granulomas
5
A cause of nutritional cardiomyopathy is
deficiency of (A) thiamine (B) niacin (C)
vitamin C (D) vitamin A
6
Alcoholism causes what kind of cardiomyopathy?
(A) dilated (B) hypertensive (C)
hypertrophic (D) restrictive
7
Which is pathognomonic of active rheumatic fever?
(A) Aschoff body (B) Lewy body (C) Negri
body (D) psammoma body (E) Russell body
8
In the initial attack of acute rheumatic fever,
congestive cardiac failure results from (A)
endocarditis (B) myocarditis (C) pericarditis
(D) anemia (E) mitral stenosis
9
Acute rheumatic endocarditis follows infections
with (A) alpha-hemolytic streptococci
(Streptococcus viridans) (B) group A
beta-hemolytic streptococci (C) coagulase ve
Staphylococcus aureus (D) Streptococcus
pneumoniae (E) enterococci
10
The most frequent clinically significant residual
lesion of acute rheumatic fever is (A) aortic
stenosis (B) mitral stenosis (C) myocardial
fibrosis (D) myocardial hypertrophy (E)
pericardial adhesions
11
A young boy develops migratory polyarthritis,
subcutaneous nodules and Sydenham chorea after
repeated episodes of pharyngitis. What is the
most likely diagnosis? (A) infectious
endocarditis (B) mitral stenosis (C) rheumatic
fever (D) viral myocarditis
12
What is the most common cause of isolated mitral
valve regurgitation? (A) cleft anterior mitral
leaflet (B) floppy mitral valve (C)
idiopathic chordal rupture (D) infarcted mitral
papillary muscles (E) infective endocarditis
13
The two valves most frequently involved in
rheumatic heart disease are the (A) aortic and
tricuspid (B) mitral and pulmonic (C) mitral
and aortic (D) tricuspid and pulmonic (E)
aortic and pulmonic
14
The most likely etiology of this aortic valve
lesion is (A) bacterial endocarditis (B)
bicuspid valve (C) degenerative
calcification (D) rheumatic fever
15
A patient with this mitral valve lesion will most
characteristically have (A) atrial septal defect
(B) left ventricular hypertrophy (C) myocardial
infarction (D) pulmonary hypertension (E)
systemic hypertension
16
Severely destroyed aortic cusps with attached
friable vegetations are most characteristic of
endocarditis due to (A) Candida albicans (B)
Streptococcus fecalis (C) Streptococcus
viridans (D) Staphylococcus aureus (E)
Haemophilus influenzae
17
A 32-year-old woman has the onset of fever and
chills associated with small nodular hemorrhages
in the palms and soles, and tender nodules of the
finger pads. As a child, she had streptococcal
sore throat. The current condition in this
patient is most likely (A) bacterial
endocarditis (B) floppy mitral valve (C)
infiltrative cardiomyopathy (D) systemic lupus
erythematosus (E) tuberculosis
18
A 67-year-old man presents with angina and a
history of several episodes of syncope. On
auscultation, there is harsh crescendo-decrescendo
systolic murmur and an ECG indicates left
ventricular hypertrophy. Of the following, which
is most likely? (A) acute rheumatic fever (B)
aortic stenosis (C) infective endocarditis (D)
mitral valve prolapse (E) nonbacterial thrombotic
endocarditis
19
The heart on the right is normal, which of the
following is most likely associated with the
heart on the left? (A) elevated MB fraction of
serum CK (B) history of intravenous drug
abuse (C) hypertension (D) mitral valve
stenosis (E) uremia
20
The most likely etiology of this aortic valve
lesion is (A) bacterial endocarditis (B)
bicuspid valve (C) degenerative
calcification (D) rheumatic fever
21
In a patient with restrictive cardiomyopathy and
heart failure which is unresponsive to treatment,
the most likely diagnosis is (A) diabetes
mellitus (B) amyloidosis (C) gout (D) niacin
deficiency (E) hemochromatosis