Practice Quiz

PANCE Practice Test - Question List

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291. Regarding MI, the levels of which one of the listed begin to increase 4 to 6 h after the onset of chest pain, reach maximal serum concentration in about 12 to 24 h, and remain elevated for about 3 to 10 days?
  1. AST (SGOT)
  2. CPK isoenzyme MB
  3. LDH (with isotype LDH1 greater than LDH2)
  4. Troponin I
See answer
292. If a patient has a crescendo-decrescendo midsystolic ejection murmur with a paradoxically split second heart sound (S2) and the left ventricular pressure during systole is markedly greater than the aortic pressure, what is the correct diagnosis?
  1. Aortic regurgitation
  2. Aortic stenosis
  3. Constrictive pericarditis
  4. Mitral regurgitation
See answer
293. Which of the following is the most frequent cause of aortic valve incompetence and regurgitation?
  1. Latent syphilis
  2. Infective endocarditis
  3. Rheumatic fever
  4. Aortic dissection
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294. If a 27-year-old female with a history of rheumatic fever during childhood presents with an early diastolic opening snap with a rumbling late diastolic murmur, what will be the possible diagnosis?
  1. Aortic regurgitation
  2. Aortic stenosis
  3. Mitral regurgitation
  4. Mitral stenosis
See answer
295. Acute rheumatic fever classically develops in children 1 to 4 weeks after a group A hemolytic streptococcal (Streptococcus pyogenes) infection of which of the following organs?
  1. Aorta
  2. Heart
  3. Lungs
  4. Pharynx
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