Order National Alliance on Mental Illness Order 5983987 Order National Alliance on Mental Illness 1. Mahler would assign the term to a 4-year-old child who is completely emotionally attached to mother and reacts stressfully if the possibility of separation occurs. 2. A 16-year-old mother brings her malnourished, irritable, and dirty 10-week-old infant to the clinic. A diagnosis of “failure to thrive” is assigned. According to […]

Order Congenital Heart Disease Assignment Order 5989347 Order Congenital Heart Disease Assignment A 3-year-old patient presents to you for evaluation secondary to a referral from his pediatrician for a murmur. You diagnose the patient with a functional murmur. Common characteristics of this murmur include all of the following, except: (A) Often described as musical or ‘‘twanging string’’ (B) Normal electrocardiogram (EKG) and chest radiograph (CXR) […]

Patients with Pericardial Effusion and Tamponade Order 5989321 Patients with Pericardial Effusion and Tamponade 1 A 61-year old woman with recent tricuspid valve repair presents with increasing dyspnea, orthopnea, and presyncope. The patient was hypotensive, with distended jugular veins, and distant heart sounds on physical examination. On the basis of the hemodynamic tracing from the right ventricle (RV) shown in the following figure, which of […]

Percutaneous Alcohol Septal Ablation for Hypertrophic Order 5893747 Percutaneous Alcohol Septal Ablation for Hypertrophic 1 A 43-year-old man with hypertrophic cardiomyopathy (HCM) and a resting left ventricular outflow tract (LVOT) gradient of 60 mm Hg is referred to you for alcohol septal ablation. He has dyspnea when walking rapidly up a flight of stairs or more than two blocks on level ground. His blood pressure […]

American Heart Association Guidelines Discussion Order 5906483 American Heart Association Guidelines Discussion 1 A 57-year-old man with hypertension, who is a current tobacco user, presented to the emergency department with substernal chest pain. The chest pain started 90 minutes ago and is associated with nausea and diaphoresis. A prior electrocardiogram (EKG)from 1 year ago is shown below and his current EKG on presentation is shown […]

Non–ST-Elevation Acute Coronary Syndromes Order 5892561 Non–ST-Elevation Acute Coronary Syndromes A 65-year-old man with a history of hyperlipidemia presents to the emergency room with 2 hours of chest heaviness. His electrocardiogram (EKG) reveals sinus rhythm with anterolateral ST-segment depressions. His physical examination and initial blood work are unremarkable. He is diagnosed with non–ST-elevation acute coronary syndrome (ACS) and preparations are being made to perform coronary […]

Management of Intraprocedural and Postprocedural Complications Order 5989833 1 A 69-year-old man with hypertension (HTN) and renal insufficiency (glomerular filtration rate [GFR] 65) presents to your office for consult from an Internist. He has been experiencing chest pain with exertion and underwent stress thallium which showed anterior defect. He then had cardiac catheterization that showed severe three-vessel disease with ejection fraction (EF) of 45%. He […]

Buy Qualitative and Quantitative Angiography Order 5989311 Buy Qualitative and Quantitative Angiography 1 Which of the following characteristics of a lesion predicts a lower rate of procedural success in the stent era? (A) Total occlusion 45 and 20 mm (D) Angulation >45 degrees 3 Of the bifurcation lesions, which are related to higher rates of procedural complications during parent vessel percutaneous coronary intervention (PCI)? (A) […]

Order Interventional Coronary Physiology Order 5898344 Order Interventional Coronary Physiology 1 Myocardial oxygen demand is balanced by oxygen supply. Which of the following is not involved in increasing myocardial oxygen demand? (A) Myocardial contractility (B) R-R interval (C) Left ventricular (LV) end diastolic dimension (D) Diastolic relaxation (E) Systolic pressure Order Interventional Coronary Physiology 2 Coronary reserve is the ratio of maximal flow to basal […]

Buy Intravascular Ultrasound Discussion Solutions Order 5989776 Buy Intravascular Ultrasound Discussion Solutions 1 Following an intravascular ultrasound (IVUS) imaging of a moderately diseased coronary artery (see left figure), offline measurements are performed (see right figure). All of the following statements about these measurements are true, except: (A) Line A traces the leading edge of the intima, defining the lumen area (B) Line B traces the […]