An 88 year old grandmother has been having near syncopal episodes, gets dizzy and is short of breath. She cannot walk very far now without becomming completely out of breath and getting chest pain

image


Question: PLAB MCQ 27
An 88 year old grandmother has been having near syncopal episodes, gets dizzy and is short of breath. She cannot walk very far now without becomming completely out of breath and getting chest pain. A chest xray shows evidence of perhilar venous congestion. Examination reveals a low-pitched, systolic thrill in her right carotid artery. A likely diagnosis is
a) carotid sinus hypersensitivity
b) sick sinus syndrome
c) vasovagal episode
d) tricyclic antidepressants
e) normal pressure hydrocephalus
f) occlusion of the right posterior inferior cerebellar artery
g) occlusion of the left superior cerebellar artery
h) Meniere's disease
i) acute labyrinthitis
j) senile calcific aortic stenosis


Labels: , ,



>>>> Post your Answer Here ????



Design by Up2date.us