Description

CEA Prep | Full Practice Exam | Questions And Answers With Real Solutions The patient is exhibiting a productive cough and a low-grade fever. Chest X-ray on PA view shows a left lower chest area of consolidation adjacent to the left border of the heart approximately 2 rib spaces above the costophrenic angle. The lateral x-ray view shows this lesion absent of the window posterior to the cardiac silhouette. Which is the most likely location of this area of focal consolidation? *Left upper lobe apex *Right middle lobe *Left upper lobe lingula *Left lower lobe ANS Left upper lobe lingula Ratonale: Lingular consolidation is described in this question precisely. If the cardiac margin/silhouette is obliterated by the mass, the lesion is either right middle lobe or left upper lobe lingula. The inability to fully relax the myocardium during relaxation is a trademark of which of the following diagnoses? ANS Diastolic dysfunction Rationale: The inability for the heart to relax is a trademark of the diagnosis of diastolic dysfunction and is common in patients with thickened hypertrophic myocardium. An otherwise healthy African American adult male has been diagnosed with hypertension. He has been restricting his salt intake, eating a DASH (Dietary Approaches to Stop Hypertension) diet, and exercising more, but his blood pressure is still elevated. Which is the BEST medication to prescribe him? ANS Calcium channel blocker Rationale: African American patients per JNC8 Hypertension Guide