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NEW QUESTION 36 Patient with swollen ankles, rales on chest auscultation, protrusion of abdomen, dyspnea. O/E: CVS: No murmurs, JVP shows X, V and Y descent. What is the most likely diagnosis?

• A. Pulmonary HTN
• B. Tricuspid regurgitation
• C. Constrictive Pericarditis
• D. Tricuspid stenosis

Answer: C   NEW QUESTION 37 A 32-year-old woman comes to the emergency department with lower abdominal pain and tenderness, fever leukocytosis, and cervical motion tenderness. What is the next best step in the management of this patient?

• A. Ceftriaxone and doxycycline
• B. Pelvic sonogram
• C. Laparoscopy
• D. Urine pregnancy test

Answer: D   NEW QUESTION 38 Patient had seasonal runny nose, itching and nasal obstruction, treated many times with broad-spectrum antibiotics. The most effective therapy is:

• A. Topical corticosteroids
• B. Nasal decongestant
• C. Antihistamines

Answer: A   NEW QUESTION 39 ......