Questions

A 14-year-old boy has just moved with his family from Brazil to the U.S.  He starts complaining of shortness of breath and palpitations. Chest x-ray   films demonstrate pulmonary congestion, and ECG shows alterations in    heart rhythm. Echocardiography reveals biventricular dilatation     with massive cardiac enlargement. An endomyocardial biopsy shows      diffuse interstitial fibrosis, myocyte necrosis, chronic       inflammation, and the presence of intracellular protozoan parasites.        The patient may also develop which of the following complications?

A 25-year-old man presents with a chief complaint of persistent, high-pitched ringing noises in his ears. Questioning reveals that he has  also been losing his balance lately. CT of the head demonstrates bilateral   tumors involving the vestibulocochlear nerve. Which of the following    chromosomes contains the tumor suppressor gene most likely to be involved     in this case?

A 14-year-old patient is brought in by his parents because of a sore  throat. On physical examination, he is febrile, and has pharyngeal  erythema with a tonsillar abscess. A throat culture on sheep blood  agar yields colonies of gram-positive cocci that are surrounded by  a zone of complete hemolysis. The organism was also plated on mannitol  salt agar; it grew well and caused the medium to turn yellow. Which of   the following microorganisms is the most likely cause of the patient's    illness?

A patient with rheumatoid arthritis mentions to her physician that after  many years without dental problems, she has recently had seven dental caries filled. This finding suggests that she should be evaluated for which of the following diseases?

Which of the following hormones is secreted by anterior pituitary cells

During embryological development, hematopoiesis occurs in different  organs at different times. Which of the following are the correct organs,   in the correct sequence, at which hematopoiesis occurs embryologically?

Evaluation of an infant with a variety of congenital abnormalities  reveals hypocalcemia due to a lack of parathyroid hormone. On x-ray,   the thymic shadow is absent. A failure of development and differentiation    of which of the following embryonic structures would most likely be     responsible for the observed presentation?

An endocrinologist examines a patient suspected of having Riedel  thyroiditis. Which of the following findings on physical examination   would best help confirm the diagnosis?

A 55-year-old male with hypertension and a past medical history of  myocardial infarction is prescribed atenolol. This medication will  lower his blood pressure by

A 20-year-old woman presents to the emergency room in labor. She has  had no prenatal care. The patient is noted to be very restless, with fever,   profuse sweating, marked tachycardia, and a marked tremor. Over the next    hour, she develops delirium, nausea, vomiting and abdominal pain     between contractions. This potentially fatal condition is     most likely related to which of the following thyroid diseases?