- Witamy!! Forum ruszyło na nowo. Przy rejestracji proszę o wysłanie wiadomosci email (usmle.fora@gmail.com) z krótkim opisem siebie/ planów związanych z USMLE. Jest to niezbędne do weryfikacji i aktywowania konta :)

grzybcia

A 10-week-old apparently healthy infant is laid down for a nap. The
mother sits in a rocking chair nearby reading. At one point, she
hears the baby make a single small cry, but she keeps reading because
the baby quiets quickly. Later, she gets up to check on the child,
whom she finds dead.Careful autopsy would be most likely to reveal
which of the following cardiac findings?
A. Endocarditis
B. Failure of development of the endocardial cushion
C. Large interventricular septal defect
D. Mitral valve stenosis
E. Right ventricular hypertrophy

grzybcia

E is correct..it is SIDS.....

The baby is probably a victim of sudden infant death syndrome (SIDS). The etiology remains unknown. Rare cases have been witnessed, and some of the SIDS babies give a single small cry, as described in the question stem. Some of these babies were premature at birth and some have upper respiratory infections in the preceding few days before death. Findings at autopsy are subtle and may be absent. The cardiovascular system may show right ventricular hypertrophy, which is possibly secondary to smooth muscle hypertrophy in small pulmonary arteries, and possibly cardiac conduction system abnormalities. Other features include brainstem gliosis (suggesting chronic hypoxia), extramedullary hematopoiesis, and retained periadrenal brown fat.

kalamazoo

Nie podoba mi sie to pytanie, zwlaszcza jak na step1. Za duzo tu possible, may, unknown i gdybania. To bardziej akademickie rozwazanie case'a niz pyt. sprawdzajace. Hope, ze nas takimi nie beda czestowac Confused

Afakia · Gość

hehe a ja wolę właśnie takie pytania bo są dość logiczne - ale to fakt że takie są na step2