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Systemic Disorders Affecting the Heart
Cardiovascular effects of acromegaly include which of the following?
- Left ventricular hypertrophy
- Hypertension
- Insulin resistance and diabetes mellitus
- All of the above
- Left ventricular hypertrophy
With which of the following is Cushing’s syndrome not associated with?
- Hypertension
- Diabetes mellitus
- Atrial myxomas
- Mitral regurgitation
- Hypertension
What is the triad of hyperpigmentation, low blood pressure, and hyperkalemia suggestive of?
- Addison’s disease
- Conn’s disease
- Hypopituitarism
- Cushing’s syndrome
- Addison’s disease
Cardiac effects of hyperthyroidism include which of the following?
- Atrial fibrillation
- High-output heart failure
- Higher blood volume
- All of the above
- Atrial fibrillation
Which of the following could be cardiac effects of hypothyroidism?
- Pericardial effusion
- Cardiomyopathy
- Elevated serum cholesterol level
- Low cardiac output and elevated peripheral vascular resistance
- All of the above
- Pericardial effusion
Which of the following endocrine disorders may be associated with cardiomyopathy?
- Hyperthyroidism
- Hypothyroidism
- Pheochromocytoma
- All of the above
- Hyperthyroidism
Which of the following statements about pheochromocytoma are accurate?
- About 75% are discovered at autopsy and are commonly missed antemortem
- Most are >1 cm in size and unilateral
- 10% could be familial and in such cases may be multicentric and extra-adrenal
- There is an association with neurofibromatosis
- All of the above
- About 75% are discovered at autopsy and are commonly missed antemortem
Which of the following statements is not true regarding diagnosis of pheochromocytoma?
- Plasma catecholamines or 24-h urine metanephrines are good screening tests
- Clonidine suppression test is positive with pheochromocytoma with >50% suppression of serum norepinephrine
- Magnetic resonance imaging (MRI) is the more specific imaging modality compared with computed tomography scan
- Metaiodobenzylguanidine scan is helpful to show that the discovered mass is indeed producing hormones
- Clonidine suppression test is positive with pheochromocytoma with >50% suppression of serum norepinephrine
- Plasma catecholamines or 24-h urine metanephrines are good screening tests
Deficiency in the enzyme methionine synthase may result in severe hyperhomocysteinemia manifested by which of the following?
- Premature atherosclerosis
- Venous thrombosis
- Both A and B
- Neither A nor B
- Premature atherosclerosis
Which of the following is not a major Jones criterion for the diagnosis of rheumatic fever?
- Carditis
- Chorea
- Erythema nodosum
- Subcutaneous nodules
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- Carditis