Part 3 Quiz Version - Sinoe medical homepage.

Cardiology – Part 3
Quiz
d) Central and South America
e) Eastern Asia
22) Which of the following is a common clinical manifestation of chronic Chagas
disease
a) ST elevation in leads V1, V2, and V3
b) Endocarditis with splinter hemorrhages
c) Hypertension with AV nicking and cotton-wool spots
d) Myocarditis with enlarged, flabby heart
e) Pulmonary hypertension with “butterfly-wing” effusions
23) Which of the following describes xenodiagnosis in Chagas disease
a) Allowing infected insects to bite the patient and then examining the patient’s
stool and blood for infection
b) Allowing infected insects to bite the patient and then examining the insects for
infection
c) Allowing non-infected (clean) insects to bite the patient and then examining the
patient’s stool and blood for infection
d) Allowing non-infected (clean) insects to bite the patient and then examining the
insects for infection
e) Injecting the patient’s blood into a test animal of similar blood type and then
monitoring the animal for symptoms or death
24) Which of the following is used in the treatment of acute phase Chagas disease
a) Penicillin and erythromycin
b) Nifurtimox and benznidazole
c) Trimethoprim and sulfamethoxazole (TMP-SMX)
d) Moxifloxacin or levofloxacin
e) There is no treatment as Chagas disease is irreversible
25.1) Which of the following is a systemic response to infection and may be defined as
systemic inflammatory response syndrome (SIRS)
a) Infection
b) Bacteremia
c) Severe sepsis
d) Sepsis
e) Septic shock
25.2) Which of the following involves hypotension (BP < 90mmHg, MAP < 70mmHg)
despite fluid resuscitation
a) Infection
b) Bacteremia
c) Severe sepsis
d) Sepsis
e) Septic shock
26) What is the most common virulence factor involved in gram-negative sepsis, leading
to clotting, fever, and inflammation
a) Inflammatory response
b) cAMP inducing toxin
c) Toxin inhibits protein synthesis
d) LPS endotoxin
Version: 16Oct2008 Page 45 of 60