esas قام بنشر أبريل 15, 2008 قام بنشر أبريل 15, 2008 السلام عليكم عندي هدا الملف المرفق وعايز احوله الي برنامج الوورد عشان نسقه واطبعه مادا افعل Test6_Car_Done.rar
esas قام بنشر أبريل 16, 2008 الكاتب قام بنشر أبريل 16, 2008 الملف علي الرابط المرفقhttp://up.m5zn.com/152721092805/Test6_Car_Done.rar
وماذا بعد؟ قام بنشر أبريل 20, 2008 قام بنشر أبريل 20, 2008 (معدل) ملف HTML محمى من النسخ و Right-click معطله ولكن باستخدام برنامج Adob Acrobat Professional Test #6 Q.Id = 588 Question 17 Of 46 Division : CardiologyAn 11-year-old male is brought to the emergency room after he collapsed in a school athletic event. ECG shows pulseless ventricular tachycardia. Attempts at cardioversion fail and he dies in spite of all resuscitative efforts. Which of the following conditions is the most likely cause of sudden cardiac death in this young athlete? A. Hypertrophic cardiomyopathy B. Congenital anomaly of coronary arteries C. Arrhythmogenic right ventricular dysplasia D. Complex atrial septal defect E. Ebstein’s anomaly F. Congenital Brugada syndrome G. Ruptured aortic aneurysm Explanation: Hypertrophic cardiomyopathy is the most common cause of sudden cardiac death (SCD) in young athletes. There are many potential mechanisms of sudden cardiac death in HCM. The most common are ventricular tachyarrhythmias. Another proposed mechanism is myocardial ischemia, due to high demand. Congenital anomalies of coronary arteries, arrhythmogenic right ventricular dysplasia, atrial septal defect, and Ebstein’s anomaly are all important causes of SCD in young athletes but they are far less frequent than hypertrophic cardiomyopathy. Educational Objective: Hypertrophic cardiomyopathy is the most common cause of sudden cardiac death in young athletes. 68% of people answered this question correctly file:///H|/Documents and Settings/XPPRESP3/Local Settings/T...Rar$EX00.461/Test6_Car_Done/Question 1 of 46_Cardiology.htm14/04/1429 04:08:45 • تم تعديل أبريل 20, 2008 بواسطه وماذا بعد؟
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وماذا بعد؟ قام بنشر أبريل 21, 2008 قام بنشر أبريل 21, 2008 (معدل) وعليكم السلام ورحمة الله فقط قم بتحميل برنامج Adobe Acrobat 6.0 Professional مثلا وعند تصفح أى صفحة ستظهر فى أعلى المتصفح تلك الايقونه عند الضغط عليها .. يقوم بتحويل الصفحة وحفظها ب PDF ومنها يمكنك نسخ النص والتعامل معه :) بالتوفيق تم تعديل أبريل 22, 2008 بواسطه وماذا بعد؟
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esas قام بنشر أبريل 22, 2008 الكاتب قام بنشر أبريل 22, 2008 ايوه مفادها ان الادوب لايستطيع عمل تحويل للملف
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وماذا بعد؟ قام بنشر أبريل 24, 2008 قام بنشر أبريل 24, 2008 تانى مرة اخى ، يعمل جيدا بفضل الله ولكن راعى عند التحويل ان تقوم باختيار Convert Web Page To PDF وهو الاختيار الاول Test #6 Q.Id = 594 Question 18 Of 46 Division : CardiologyA 60-year-old female presents with dyspnea and ankle edema. Her dyspnea was mild 6 months ago and used to occur with moderate exertion but now has progressed to dyspnea, even at rest. She denies any chest pain, syncope, or palpitations. She does not smoke or drink alcohol. She denies diabetes mellitus, hypertension, or hyperlipidemia. Her vitals are, PR: 80/ min; BP: 130/70 mmHg; Temperature: 37.1C(98.9); RR: 14/min. Examination is significant for jugular venous distension, bilateral ankle edema, and tender hepatomegaly. Kussmaul’s sign is positive and pulsus paradoxus is negative. Chest auscultation shows bibasilar crackles. Heart sounds are distant and there is no murmur. Chest x-ray shows mild cardiomegaly and a right-sided pleural effusion. EKG shows low voltage QRS complexes and nonspecific ST-T wave changes. Echocardiography shows symmetrical thickening of left ventricular walls, normal ventricular size, and slightly reduced systolic function. CT scan of the chest shows normal pericardial thickness. Based on these findings, which of the following is the most likely diagnosis in this patient? A. Dilated cardiomyopathy B. Restrictive cardiomyopathy C. Hypertrophic cardiomyopathy D. Cardiac tamponade E. Constrictive pericarditis Explanation: Restrictive cardiomyopathy is characterized by severe diastolic dysfunction due to a stiff ventricular wall. Chest x-ray shows only mild enlargement of the cardiac silhouette. Echocardiography usually shows a symmetrically thickened ventricle wall, normal or slightly reduced left ventricle size and normal or near normal systolic function. Kussmaul’s sign may also be present. The apical impulse is easily palpable in restrictive cardiomyopathy as opposed to constrictive pericarditis. Restrictive cardiomyopathy is difficult to differentiate from constrictive pericarditis. With constrictive pericarditis, chest x-rays may show pericardial calcifications and the CT scan usually shows increased thickness of pericardium. Kussmaul’s sign may be positive in both conditions. With constrictive pericarditis, the thickness of myocardium will be normal. file:///H|/Documents and Settings/XPPRESP3/Local Setting...$EX00.284/Test6_Car_Done/Question 1 of 46_Cardiology.htm (1 of 2)19/04/1429 01:33:55 • Normal Labs Question 18 of 46 Dilated cardiomyopathy is characterized by impaired systolic function of left and right ventricle leading to progressive cardiac enlargement. Chest x-ray shows marked or moderate enlargement of cardiac silhouette. Echocardiography shows systolic dysfunction and left ventricular dilatation with normal thickness of the ventricular wall. Hypertrophic cardiomyopathy is characterized by asymmetric left ventricular hypertrophy. In HCM, a harsh systolic murmur best heard at the left sternal border is also present. Chest x-ray shows mild enlargement of cardiac silhouette. Echocardiography shows vigorous systolic function, asymmetric septal hypertrophy and in some cases systolic anterior motion of the mitral valve. Due to the hypertrophy of the left ventricular wall, there is diastolic dysfunction. In cardiac tamponade, there is sinus tachycardia and hypotension. Pulsus paradoxus is also present in this condition. There is jugular venous distension with a prominent 'y' descent. Educational Objective: Know how to diagnose restrictive cardiomyopathy and how to differentiate it from other cardiac conditions that may present similarly .
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