A 34-year-old woman is brought to the emergency department in mid-August after collapsing during a picnic at a local park


#1

A 34-year-old woman is brought to the emergency department in mid-August after collapsing during a picnic at a local park. She is hypotensive, tachycardic, and diaphoretic with cold extremities. Her oxygen saturation is 85% on room air. Physical examination reveals she is using accessory muscles to breathe. Which of the following is involved in the production of this patient’s symptoms?

  • (A) C3a
  • (B) Granulocyte macrophage colonystimulating factor
  • © IgA
  • (D) Interleukin-3
  • (E) Membrane attack complex

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An 8-year-old girl presents to the clinic for a check-up required by her new school. She is a recent immigrant to the United States and did not have access to regular medical care growing up. Her mother reports that when her daughter was an infant she had swollen hands and feet as well as “something wrong with the sides of her neck.” The patient’s left arm is smaller than the right. When height and weight data are plotted on a growth curve, she is short for her age. What congenital cardiovascular anomaly does this patient most likely have?

  • (A) Postductal coarctation of the aorta
  • (B) Preductal coarctation of the aorta
  • © Subclavian steal syndrome
  • (D) Tetralogy of Fallot
  • (E) Transposition of the great vessels

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