Internal-Medicine

286 14: Comprehensive Review
85. Which of the following statements concerning
women’s health issues is correct?
(A)
(B)
(C)
(D)
(E)
breast cancer is the leading cause of
death in American women
men benefit more from thrombolytic
therapy than women
the mortality from acute myocardial
infarction is greater in women than men
estrogen therapy decreases mortality in
postmenopausal women primarily by its
ability to prevent osteoporosis-related
fractures
immune-related disorders are less common
in women
86. Which of the following statements concerning
hypertension during pregnancy is correct?
(A)
(B)
(C)
(D)
(E)
preeclampsia becomes manifest during
the end of the middle trimester
angiotensin-converting enzyme (ACE)
inhibitors are useful antihypertensives
in pregnant women
pregnancy increases the risk for future
renal impairment in women with essential
hypertension
alpha-methyldopa is a useful antihypertensive
in pregnant women
gestational hypertension infrequently
recurs in subsequent pregnancies
87. Which of the following statements concerning
pregnancy and infection is correct?
(A)
(B)
(C)
(D)
(E)
CMV is the most common cause of congenital
viral infection
postpartum infections are the most common
cause of maternal mortality in the
United States
N. gonorrhoeae infection is transmitted to
the child only during delivery
asymptomatic bacteriuria is common
but unimportant in pregnant women
HIV infection in newborns is invariably
contracted during the first trimester
88. A 35-year-old man presents with severe leftsided
periorbital headaches associated with
nasal stuffiness and tearing of the eye. He experiences
3 short-lived attacks a day, usually
occurring at the same time of the day for the
past 3 weeks. He has had similar headaches a
year ago. Which of the following characteristics
about these headaches is correct?
(A) are likely tension headaches
(B) are typical of common migraine (without
an aura)
(C) may be relieved by the vasodilation of
alcohol
(D) usually recur in cycles lasting several
months to years
(E) can be relieved by administration of
oxygen
89. A 75-year-old woman presents with sudden
onset of a communication disorder. She speaks
fluently but in a series of incomprehensible syllables.
She cannot read or repeat sounds or
words. Which of the following is characteristic
of this syndrome?
(A) unlikely to improve with time
(B) usually associated with hemiparesis of
the dominant side
(C) usually associated with hemiparesis of
the nondominant side
(D) usually in the distribution of the posterior
cerebral artery
(E) frequently associated with parietal lobe
sensory defects
90. A 38-year-old man acutely develops severe retrosternal
chest pain radiating to the back. It is
aggravated by breathing and movement. He
has always been in perfect health but did have
a mild upper respiratory tract infection 1 week
ago. His cardiogram is pictured in Fig. 14–1.
Which of the following is the most likely cause
for his condition?
(A)
(B)
(C)
(D)
(E)
occlusion of left anterior descending
artery
occlusion of circumflex artery
a viral infection
dissection of the aortic artery
pneumococcal infection