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YEAR-1 Course management

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A 70 year old man who has hypertension of 20 years visits the cardiologist as his arterial blood pressure has not been properly controlled over the past two weeks. The physician prescribes him a new medication that increases the calcium reuptake into sarcoplasmic reticulum.

What is the most likely calcium channel targeted by this drug?

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A cardiologist prescribes an antiarrhythmic drug for a 45 year old patient with ventricular tachycardia. It is a structural analogue of lidocaine that is taken orally.

What is the most likely drug that has been prescribed to this patient?

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A mother brings her three year old daughter to the emergency department as she notices that she has generalized swelling of her body. She mentions that her daughter is still on breast feeding. 

Which is the most likely affected starling force in this condition?

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A 60 year old man is brought to the emergency department with loss of consciousness, on examination his ABP is 200/120, respiration is irregular and his heart rate is 50 b/min. CT brain reveals extradural hemorrhage.

What is the single most likely underlying cause of his bradycardia?

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A 43 year old man with haemoptysis and haematuria is examined in the outpatient clinic. Transbronchial   biopsy of lung parenchyma is examined. It reveals interalveolar hemorrhage. Immunofluorescence shows linear alveolar deposits of IgG.

What is the most likely diagnosis?

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A 30 year old woman is admitted to emergency department with an acute onset of dyspnea. She is hypoxemic with So2 of 85%, CT pulmonary angiography shows a filling defect in the right main pulmonary artery.

What is the most likely diagnosis?

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A 40 year old woman is brought to the emergency Department with severe diarrhea over the past two days. Her blood pressure is 80/60 mmHg.

What are the most likely compensatory effects of her medullary cardiac center on her heart?

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A 70 year old man presents to his physician with dyspnea and expiratory wheezes. He is a smoker for 30 years; he smokes 30 cigarettes per day. His pulmonary function tests report shows FEV1/FVC 0.47 with FEV1 of 40% that increased by 1% only after bronchodilator intake.

What  is the single  most likely ventilatory impairment of this diagnosis?

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A pregnant woman is able to transfer oxygen to her fetus because fetal hemoglobin has a greater affinity for oxygen than does adult hemoglobin.

What is the single most likely reason of the higher affinity of fetal hemoglobin to oxygen?

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According to Parsons, he saw four norms governing the functional sick role.

What is  Parson’s Ideal Patient?  

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