Internal-Medicine

288 14: Comprehensive Review
Figure 14–3.
92. A 63-year-old man has had significant shortness
of breath for 2 years. His CXR is revealed
in Fig. 14–3. Which of the following is the most
likely diagnosis?
(A)
(B)
(C)
(D)
(E)
primary pulmonary hypertension
right ventricular dysfunction
left ventricular dysfunction
emphysema
mitral stenosis
93. A 42-year-old woman presents with fever,
weight loss, and malaise. Physical examination
reveals hypertension of 190/100 (normal 1 year
earlier). Her ESR is 105 mm/h, and urinalysis
reveals numerous RBCs. Her abdominal
angiogram is revealed in Fig. 14–4. Which of
the following the most likely diagnosis?
(A)
(B)
(C)
(D)
(E)
Wegener’s granulomatosis
rapidly progressive glomerulonephritis
renal artery stenosis
hypernephroma
PAN
94. A 29-year-old man complains of back pain for
several months. It takes him over 2 hours to
limber up in the morning. His x-ray is shown in
Fig. 14–5. Which of the following is the most
likely diagnosis?
(A)
(B)
(C)
(D)
(E)
RA
spondylolithiasis
osteomalacia
ankylosing spondylitis
bone involvement with Hodgkin’s
disease
95. A 69-year-old man has had mild arthritis
involving many joints for several years. Over 1
or 2 days, he develops severe pain and swelling
of his knee. His x-ray reveals calcifications in
his articular cartilage. Which of the following is
the most likely diagnosis?
(A)
(B)
(C)
(D)
(E)
acute gout
RA
pseudogout
infectious arthritis
torn ligament