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Choisissez qui, que, ou où pour compléter chaque phrase. La maison __________ j’ai achetée est très grande. C’est le restaurant __________ nous avons dîné hier soir. La personne __________ parle est mon professeur. Le livre __________ je lis est très intéressant. Le jour __________ nous nous sommes rencontrés était ensoleillé. Le film __________ j’ai vu était excellent. La ville __________ je suis né est magnifique. L’homme __________ habite à côté est très sympathique. La chanson __________ tu écoutes est ma préférée. L’année __________ j’ai voyagé en France était incroyable.

Approximately 40% of aneurysms cause symptoms, including pain, thrombosis, distal embolization, or rupture. 

Which of the following patients with asymptomatic carotid stenosis by duplex exam is the most appropriate candidate for carotid endarterectomy? 

A 55 year old man presents to your clinic because he is worried that he may have an abdominal aortic aneurysm. Which of the following factors is associated with the highest risk for development of an aortic aneurysm?                                                             

A 55 – year old man has degenerative hip disease and must undergo a total hip replacement. His BMI is 36.3. He is otherwise healthy and has never had an episode of Deep Vein Thrombosis (DVT). The most appropriate DVT prophylaxis for him is?

In acute mesenteric ischemia, emboli typically lodge at: 

A 21-year-old female is diagnosed with acute lymphoblastic leukemia when she presented with fatigue, bone pain, and a white count of 89,000.  She is started on high-dose induction chemotherapy.  Despite preprinted orders which specify that the patient is to receive IV fluids and allopurinol, the patient is mistakenly only given her chemotherapeutic regimen.  Over the next day, she becomes increasingly confused and lethargic with minimal urine output.  You are concerned that she has developed tumor lysis syndrome.  Which of the following serum electrolyte abnormalities would be MOST LIKELY in this adult patient?  Answer Na K Ca2+ (8.5-10.5) PO4 (2.5-5.0) BUN creatinine Uric acid A. 125 5.8 12.1 2.4 44 2.4 Low B. 128 3.1 9.3 3.4 50 2.4 Elevated C. 130 5.8 8.1 5.8 60 2.4 Elevated D. 145 4.2 9.8 3.5 18 0.8 Elevated E. 145 4.2 9.8 3.5 18 0.8 Normal F. 155 4.5 8.1 5.8 40 1.5 Normal  

1.       A 41-year-old Caucasian female presents with headache, fever and photophobia of 3 week duration.  She has never had anything like this before.  In the emergency room, she appears lethargic and confused.  T98.3 F, RR 18, P98, BP 104/62.  She has nuchal rigidity as well as photophobia.  Fundoscopic exam reveals no papilledema.  The rest of the physical exam is unremarkable.  A Lumbar puncture is performed immediately.  Results from the fluid: WBC 25/ml (80% lymphocytes) 250 RBCs, total protein 68, glucose 80.  Gram stain shows no organisms.  Tube 4 shows the same results as tube 1.  Opening pressure is 50 cm H2O.   Patient was diagnosed with HIV 20 years ago; CD4 count was 58 when it was checked 3 months ago.  Patient is not on HAART. This is most consistent with:

This upright chest xray shows:    

This blood smear is most consistent with: