برنامه خودارزیابی دانش پزشکی ACP MKSAP 19 (۱ ژانویه ۲۰۱۹)

Board basics-an enhancement to MKSAP 19 (Patrick Craig Alguire (editor)) Table of Contents Cardiovascular Medicine Abbreviations Pulmonary and Critical Care Medicine Pulmonary Function Tests DON'T BE TRICKED Flow-Volume Loops: Flow-volume loops plot flow (L/sec) as a function of volume. Asthma Diagnosis when asthma is difficult to control STUDY TABLE: Asthma Syndromes Treatment Chronic Obstructive Pulmonary Disease Diagnosis STUDY TABLE: Mimics of COPD Treatment Cystic Fibrosis MKSAP 19 (Medical Knowledge Self-Assessment Program) General Internal Medicine 1 (American College of Physicians) Table of Contents General Internal Medicine 1High Value Care Recommendations General Internal Medicine 1 High Value Carein Internal Medicine Self-Assessment Test Item 1 Item 4 Index MKSAP 19 (Medical Knowledge Self-Assessment Program) General lnternal Medicine 2 (American College of Physicians) Table of Contents General Internal Medicine 2High Value Care Recommendations General Internal Medicine 2 Self -Assessment Test 135 Item 1 Which of the following is the most appropriate initialtreatment? Item 2 Item 3 Item 4 Index 237 MKSAP 19 (Medical Knowledge Self-Assessment Program) Cardiovascular Medicine (American College of Physicians) Table of Contents Cardiovascular Medicinek High Value Care Recommendations Cardiovascular Medicine Self- Assessment Test Heart murmur It e m 5 On physical examination An ECG and chest radiograph are Which of the following is the most likely diagnosis? Answer: K E Y P O I N T S Item 23 On physical examination Which of the following is the most likely diagnosis? Answer: KEY POINTS (CAD) chest pain acute chest pain It e m 4 Medical history is notable only for On physical examination An initial high-sensitivity cardiac troponin level is ECG shows Which of the following is the most appropriate diagnostictest? Answer: K E Y P O I N T Item 24 Cardiac catheterization reveals Cardiac magnetic resonance imaging findings show Which of the following is the most likely cause of thispatient's chest pain? Answer: KEY POINT ACS Item 20 Histore is notable only for On physical examination ECG The calculated TIMI score is Which of the following is the most appropriate additionalmanagement? Answer: KEY POINTS ST-elevation myocardialinfarction Item 29 Emergent coronaryangiography reveals Which of the following is the most appropriate additional 1management? Answer: KEY POINTS I t e m 6 Coronary angiographic findings include Which of the following is the most appropriate management? Answer: KEY P O INT stable angina Ite m 1 2 His history includes His only medication is On physical examination Resting ECG is Which of the following is the most appropriatecardioprotective treatment? Answer: KEY POINTS Arrhythemia bradycardia symptomaticbradycardia Item 2 On physical examination Laboratory studies are ECG An echocardiogram and exercise stress test On physical examination , blood pressure is 108/ 72 mmperformed1year ago Which of the following is the most appropriate management ? Answer: K E Y POI N T premature ventricular contraction Item 17 Laboratory studies ECG shows Which of the following is the most appropriatemanagement? Answer: KEY POINT atrial fibrillation Item 11 Medicalhistory is significant for Medications are On physical examination An echocardiogram reveals Which of the following is the most appropriate treatment? Answer: KEY POINT Item 25 On physical examination ECG Which of the following is the most likely rhythmdiagnosis? Answer: sudden cardiac death Item 9 personal medical history medications On physical examination Laboratory studies are Echocardiogram shows Which of the following is the most appropriate additionalmanagement before discharge? Answer: KEY P OINT left ventricular increased wall thickness is present on the echocardiogram ,with discordantly low voltage on the ECG I t em 7 Medical history is significant for Medications are On physical examination Laboratory studies show An ECG An echocardiogramshows Which of the following is the most appropriate test ? Answer: K E Y PO I NT S heart failure heart failure with reduced ejection fraction I t em 1 Medications are On physical examination Laboratory studies reveal A previous echocardiogram showed Which of the following is the most appropriate treatment? Answer: Item 10 Medications are On physical examination Which of the following is the most appropriate additionaltreatment? Answer: KEY POINT I t e m 1 3 On physical examination A chest radiograph shows An ECGreveals Transthoracic echocardiogram shows Which of the following is the most likely diagnosis? Answer: KEY POINT I t e m 22 He also has Physical examination findings, including vital signs,are Which of the following is the most appropriate long termtreatment? Answer: KEY POINT acute decompensated heart failure Ite m 1 5 Medical history is significant for On physical examination Which of the following is the most appropriate treatment? Answer: KE Y PO I N T mass I t em 1 4 On physical examination A focused echocardiogram Pericardiocentesis yields A transthoracic echocardiogram (apical four chamberview) after pericardiocentesis is Untitled A chest CT scan with contrast after pericardiocentesisreveals Which of the following is the most likely diagnosis? Answer: KE Y PO I NT Valvular mitral regurgitation severe secondary mitral regurgitation Item 26 On physical examination Which of the following is the most appropriate additionalmanagement? Answer: KEY POINTS aortic stenosis I t e m 8 Results show Medical history is significantfor Medications are Her Society of Thoracic Surgeons adult cardiac surgeryrisk score is consistent with Which of the following is the most appropriate next step in Answer: KE Y P OIN TS Prosthetic aortic valve bioprosthetic aortic valve Item 18 On physical examination An ECG shows A transthoracicechocardiogram shows Which of the following is the most appropriate diagnostictest? Answer: KEY POINTS Vascular intermittent claudication Diagnose Item 28 On physical examination Which of the following is the most appropriate test toperform next? Answer: KEY POINTS Treatment Item 3 Medical history issignificant for Medications are Which of the following is the most appropriate additionaltreatment to improve this patient's leg pain? Answer: KE Y P O IN T S Item 21 Medical history issignificant for Medications are On physical examination Ankle- brachial index measurements Laboratory studies reveal Which of the following is the most appropriate treatmentto reduce this patient’s cardiovascular risk? Answer: KEY POINTS aortic dissection type B aortic dissection Item 16 Her admissionCT angiogram revealed On physical examination today Which of the following is the most appropriate next step in Answer: KEY POINTS Dyslipidemia Item 19 Which of the following is the most appropriate next step inmanagement? Answer: KEY POINTS patent ductus arteriosus (PDA) Item 27 Echocardiogram demonstrates Which of the following is the most appropriatemanagement? Answer: K E Y P O I N T S Item 30 Which of the following is the most appropriate initial test? Answer: KEY POINT Item 31 Medications are On physical examination Repeat echocardiogram shows Which of the following is the most appropriate treatment? Answer: KEY POINT I t em 3 2 On physical examination ECG Which of the following is the most appropriate additionaltreatment? Answer: KEY POINT I t em 3 3 Medicalhistory is significant for Medications are Laboratory studies reveal Which of the following is the most appropriate additionaltreatment? Answer: KEY POINT Ite m 3 4 Echocardiogram shows Which of the following is the most appropriatemanagement? Answer: K EY POINTS Item 35 Evaluations for On physical examination ECG shows Echocardiogramshows Which of the following is the most appropriate treatment? Answer: K EY P OIN T Item 36 The patient’s only other medicalproblem is Medications are Which of the following is the most reasonablemanagement of the antiplatelet therapy? Answer: KEY POINT Item 37 He has ahistory of Medications are On physical examination ECG with rhythm strips Which of the following is the most likely diagnosis? Answer: KEY POINT Item 38 His medical history also includes Medications are On physical examination Which of the following is the most appropriate treatment? Answer: Item 39 On physical examination Which of the following is the most appropriate management? Answer: KEY POINT Item 40 On physical examination Findings on echocardiogram are Which of the following is the most appropriate cardiacsurveillance for this patient? Answer: KEY POINT Item 41 Medications are On physical examination An ECG shows Which of the following is the most appropriatemanagement? Answer: K EY P OIN T Item 42 on routinescreening ultrasonography On physical examination Which of the following is the most appropriate next step inmanagement? Answer: I t e m 4 3 On physical examination A resting echocardiogram shows Which of the following is the most appropriatemanagement? Answer: KEY POINT Ite m 4 4 Cardiac telemetry shows Which of the following is the most appropriate treatment? Answer: I t em 4 5 Medications are On physical examination Which of the following is the most appropriate treatment? Answer: Untitled I t e m 4 6 ECG shows Which of the following is the most appropriate next step inmanagement? Answer: K E Y P O I N T S I t e m 4 7 Laboratory studies are significant for An ECG shows Which of the following is the most likely diagnosis? Answer: KEY POINT I t e m 48 Magnetic resonance angiogram of the brain demonstrates A transesophageal echocardiogram demonstrates Which of the following is the most appropriatemanagement? Answer: I te m 49 Which of the following is the most appropriate diagnostic test? Answer: KE Y PO I NT I t e m 5 0 An echocardiogram shows Six months ago, 24-hour ECG monitoring performedas part of surveillance showed Which of the following is the most appropriate treatment? Answer: I t em 5 1 ECG On physical examination Answer: KE Y PO I NT I t e m 5 2 Echocardiogram from this hospitalization shows Which of the following is most likely to prevent early Answer: Item 53 An ECGshows The echo The palpations make her anxious and are intolerable. Theycardiogram reveals Which of the following is the most appropriate next step inmanagement? Answer: KE Y P O INT Item 54 Medical history is otherwise£ significant for MediCOin cations are Which of the following is the most appropriate treatment? Answer: Item 55 On physical examination Laboratory studies ECG Echocardiogram Which of the following is the most appropriate management? Answer: Item 56 An ECG demonstrates Atransthoracic echocardiogram demonstrates Which of the following is the most appropriatemanagement? Answer: KE Y P O INT S mItem 57 History isalso significant for Medications are ECG shows Which of the following is the most appropriate test? Answer: KEY POINT Item 58 On physical examination Which of the following is the most likely diagnosis? Answer: KEY POINT Item 59 High-sensitivity cardiac troponin level is An ECG Which of the following is the most appropriate management? Answer: Item 60 Resting 12-lead ECG shows Which of the following is the most appropriate diagnostictesting option? Answer: KEY POINTS Item 61 On physical examination Serum high-sensitivity cardiac troponin level is echocardiogram shows Which of the following is the most likely diagnosis? An ECG demonstrates Answer: KEY POINTS Item 62 On physical examination Chest radiograph reveals Which of the following is the most appropriate treatment? Answer: KEY POINT Item 63 On physical examination An ECG shows A transthoracic echocardiogram shows Which of the following is the most appropriate next step inmanagement? Untitled Answer: Item 64 Medical history is significant for Medicationsare On physical examination I T E M 6 4 Laboratory studies Which of the following is the most appropriate additionalmanagement? Answer: K EY POI NT S Item 65 She has Medications are On physical examination Results of laboratory studies show Which of the following is the most appropriate initialmanagement? Answer: K EY POI N TS I t em 6 6 Medications are On physical examination ECG shows An echocardiogram shows Which of the following is the most appropriate management? Answer: K EY POI N T Ite m 67 ECG shows Which of the following is the most appropriate management? Answer: I t e m 6 8 Medications are physical examination findings Echocardiography shows Which of the following is the most appropriateanticoagulation strategy during the first trimester? Answer: KEY POINTS I t em 6 9 Medications are On physical examination Ankle -brachial index testing: Which of the following is the most appropriate test toperform next? Answer: KEY POINTS I t em 7 0 On physical examination Laboratory studies show Chest radiograph shows Echocardiogramshows Which of the following is the most appropriate additionaltreatment? Answer: KEY POINTS It e m 7 1 On physical examination Laboratory studies, including a comprehensive meta -bolic panel, are ECG Echocardiogram is Which of the following is the most likely diagnosis? Answer: KEY POINTS Ite m 7 2 He underwent Medications are On physical examination An ECG shows A chest radiograph reveals Which of the following is the most appropriate management? Answer: KEY POINT Item 73 Medical history is significant for On physical examination Which of the following is the most appropriate initialmanagement? Answer: KEY POINTS Item 74 Hismedical diagnoses include ECG On physical examination Which of the following is the most appropriateHg; the remaining vital signs are normal.Oxygen saturation management? Answer: KEY POINT I t em 7 5 On physical examination ECG shows An echocardiogram shows Which of the following is the most likely diagnosis? Answer: KEY POINT Ite m 7 6 On physical examination A chest radiograph and 12-lead ECG are Which of the following is the most likely diagnosis? Answer: KEY POINT I t e m 7 7 Medica -tions are On physical examination Laboratory studies are ECG demonstrates ejection fraction ton Which of the following is the most appropriate treatment? Answer: KEY POINT I t em 7 8 He has On physical examination Chest radiograph shows A CT angiogram shows An echocardiogramshows Which of the following is the most appropriatemanagement? Answer: KEY POINT I t em 7 9 Medical history is significant for Previous evaluation documented Medications are On physical examination The most recent hemoglobin Alc level is Answer: KEY POINT Ite m 8 0 On physical examination ECG demonstrates CT of the head with and without contrast is Echocardiogram Which of the following is the most appropriatemanagement? Answer: KEY POINTS I t e m 8 1 Medications are medications On physical examination £ Which of the following is the most appropriate treatment? Answer: KEY POINT to Ite m 8 2 l She has Medications are On physical examination An ECG demonstrates An echocardiogram shows Which of the following is the most likely diagnosis? Answer: KEY POINT I t e m 83 ( Medical history is significant for Her only medication is On physical examination An ECG shows Which of the following is the most appropriatemanagement? Answer: KEY POINTS I te m 84 On physical examination An ECG is A chest radiograph reveals A transthoracic echocardiogram shows Which of the following is the most appropriate next step inmanagement? Answer: KEY POINT Item 85 Medicalhistory is otherwise significant for Medications are On physical examination ECG shows Echocardiogramshows Which of the following is the most appropriate test? Answer: KEY POINT Item 86 Medical historyis significant for Medications are On physical examination The ankle-brachial index is Which of the following is the most appropriatemanagement? Answer: KEY P OIN T S Item 87 The patient’s only medication is On physical examination Transthoracic echocardiogram reveals A CT scan Which of the following is the most appropriate management? Answer: KE Y PO I NT Item 88 On physical examination A chest radiograph is ECG Which of the following is the most appropriate test? Answer: K E Y P O I N T Item 89 On physical examination ECG reveals Echocardiogram and subsequent ECG are Which of the following is the most appropriate initialmanagement? Answer: K E Y P O I N T S Item 90 Medical history is significant for Medicationsare On physical examination Laboratory studies demonstrate An ECG shows An echocardiogram shows Which of the following is the most appropriatemanagement? Answer: KEY POINT Item 91 Medical history is significant for Medications are On physical examination An echocardiogram reveals Coronary angiography reveals Which of the following is the most appropriate additionalintervention? Answer: KEY POINT Item 92 His cardiovascularhistory includes On physical examination Which of the following is the most likely diagnosis? Answer: KEY POINT Item 93 Hehas Medicationsare On physical examination Laboratory studies show Which of the following is the most appropriatemanagement of this patient’s atheroscleroticcardiovascular disease? Answer: KEY POINTS Item 94 On physical examination ECG shows An echocardiogramshows Which of the following is the most appropriatemanagement? Answer: KEY POINTS Item 95 An initial ECG revealed angiographyrevealed ECG The initial high-sensitivity troponin level is Following intravenous nitroglycerin Follow-up ECG Which of the following (D) Thyrotoxicosis is the most likely diagnosis? Answer: KEY POINTS Item 96 coronary angiography Following coronary angiography He also has Medications are On physical examination ECGshows Which of the following is the most appropriate management? Answer: K E Y P O I N T Item 97 On physical examination Laboratory studies show ECG shows Echocardiogram shows Which of the following is the most likely contributor tothe patient's atrial fibrillation? Answer: K E Y P O I N T Item 98 On physical examination Laboratory studies show An ECG demonstrates Emergent cardiac catheterization shows Medications are Which of the following is the most appropriate additionalmanagement? Answer: K EY P OIN TS Item 99 Medications are Ambulatory 48-hour ECG monitoring showed Which of the following is the most reasonable management? Answer: KE Y P O INT Item 100 His only medication is On physical examination Laboratory studies reveal Which of the following is the most appropriate treatment? Answer: KEY POINTS Item 101 On physical examination An ECG shows An echocardiogram shows Which of the following is the most appropriate management? Answer: KEY POINTS Item 102 He has Medicationsare On physical examination The ankle-brachial index is Which of the following is the most appropriate next step inmanagement? Answer: Item 103 Her only medication is Twenty-four-hour ambulatory ECG monitoringshows Echocardiogram shows Item 101 1 Which of the following is the most appropriate treatment? Answer: K EY PO I NTS Item 104 Her ECG is The patient had Medicationsare On physical examination The initial high-sensitivity troponin level is Which of the following is the most appropriate additionaltreatment? Answer: KEY POINT Item 105 History is significant for Medications are On physical examination The first set of cardiac biomarker levels is ECG shows Which of the following is the most appropriate imagingtest in this patient? Answer: KEY POINT Item 106 History is significant for Medications are On physical examination Laboratory studies show Echocardiogram performed during his last hospitalizationshowed Which of the following is the most reasonable next step inmanagement? Answer: KEY POINT Item 107 History is also notable for Medications are On physical examination Serum creatinine level is Which of the following is the most appropriatemanagement? Answer: KEY POINT I te m 1 0 8 His past medical history is On physical examination Which of the following is the most appropriate endocarditisprophylaxis? Answer: KEY POINTS I t em 1 0 9 On physical examination A transthoracic echocardiogram with good image qual -ity shows Which of the following is the most appropriatemanagement? Answer: Untitled It e m 1 1 0 Medical history issignificant for Outpatient medications are A predischarge ECG shows An echocardiogram reveals Which of the following is the most appropriatemanagement? Answer: KEY POINT I te m 1 1 1 On physical examination ECG shows Echocardiogram shows Which of the following is the most appropriate treatment? Answer: KEY POINT I t em 1 1 2 Medications are On physical examination Transcatheter aortic valve implantation(D) Transesophageal echocardiography’I*k•VA coronary angiogram shows Which of the following benefits can the patient expectfollowing coronary artery bypass grafting? Answer: K EY POI NT S Item 113 On physical examination An ECG Chest radiograph reveals Which of the following is the most likely diagnosis? Answer: K EY P OI N TS Item 114 Medications are Results of laboratory studies show An ECG shows An echocardiogram reveals Which of the following is the most appropriatetreatment? Answer: KEY P O INT Item 115 On physical examination A serum high-sensitivity cardiac troponin measurementis An ECG shows Which of the following is the most appropriate diagnostictest to perform in this patient? Answer: KEY P OIN TS I te m 11 6 On physical examination A chest radiograph shows Which of the following is the most appropriate diagnostic test? Answer: KE Y P O IN T S I te m 1 1 7 She has Medicationsare Physical examination Laboratory studies show Which of the following is the most appropriate additionaltreatment? Answer: KEY P OINTS I t e m 1 1 8 Medicalhistory is significant for Medications are On physical examination CT angiogram reveals Which of the following is the most appropriate treatment? Answer: KEY POINTS Ite m 1 19 On physical examination ECG shows (E) Transthoracic echocardiography Which of the following is the most appropriate diagnostic test? Answer: KEY POINTS I te m 120 On physical examination Resting ECG shows Which of the following is the most likely diagnosis? Answer: KEY POINT Index MKSAP 19 (Medical Knowledge Self-Assessment Program). Pulmonary and Critical Care Medicine (American College of Physicians) Table of Contents Pulmonary and Critical Care MedicineHigh Value Care Recommendations Pulmonary and Critical Care Medicine Self -Assessment Test Ite m 1 On physical examination Which of the following is the most appropriate measure toprevent delirium? Answer: KEY POINTS I t em 2 Which of the following is the most appropriatetreatment? Answer: I t em 3 On physical examination Chest radiograph reveals Which of the following is the most appropriate additionalpneumothorax management? Answer: KEY POINTS Ite m 4 On physical examination Which of the following is the most appropriate treatment? Answer: I t em 5 On physical examination Spirometry shows An echocardiogram shows Representative high - resolution CT chest images Which of the following is the most likely diagnosis? Answer: KEY POINT Item 6 On physical examination Spirometry today is Which of the following is the most appropriate management? Answer: KEY POINTS Item 7 Which of the following is the most appropriate management? Answer: KEY POINTS Item 8 On physical examination Spirometry at the time of diagnosis showed Which of the following is the most appropriatepharmacologic treatment? Answer: KEY POINTS Item 9 On physical examination Chest is Arterial blood gas studies: A chest radiograph shows Which of the following is the most appropriatemanagement? Answer: KEY POINTS Item 10 Which of the following is the most appropriate diagnostictest? Answer For patients with suspected CTEPH and an abnormalV/Q lung scan, KEY POINTS Item 11 On physical examination . Arterial blood gas studies (at time of discharge): Which of the following is the most appropriate additionaltreatment? Answer: KE Y PO I NT S Item 12 Which of the following is the most appropriate nextmanagement step? Answer: KE Y PO I NT S Item 13 Answer: KEY POINTS Item 14 Medications are On physical examination Spirometry shows Which of the following additional long term treatments ismost appropriate? Answer: KEY POINT Item 15 On physical examination Repeat chest radiograph shows Answer: KEY POINTS Item 16 Chest radiograph reveals Which of the following is the most appropriatemanagement? Answer: KEY Item 17 Which of the following is the most appropriatemanagement? Answer: KEY POINTS Item 18 Laboratory studies show Which of the following is the most appropriate treatment? Answer: Educational Objective: KEY POINT Item 19 On physical examination Which of the following is the most appropriate initialtreatment? Answer: KEY POINTS Item 20 On physical examination Chest radiograph demonstrates High-resolution chest CT demonstrates Pulmonary function testing shows Which of the following is the most appropriatetreatment? Answer: DPLDs thatoccur almost exclusively in persons who are current smokers.The pathology from smoking-related DPLD includes KEY POINTS Item 21 On physical examination Estimated central venous pressure is Arterial blood gas studies: Chest radiograph is Echocardiogramreveals Which of the following is the most likely diagnosis? Answer: KEY POINT Sleep Item 22 On physical examination Which of the following is the most appropriatemanagement? Answer: KEY POINTS Item 23 On physical examination Chest radiograph demonstrates Answer: coalworker’s pneumoconiosis may result in coalworker’s pneumoconiosis Coal dust may contain highconcentrations of silica and silicates, which can result in Inhalation of coal dust without substantial amounts of silicacan result in coal dust cobalt result in pneumoconiosis Exposure to the hard metal cobalt (Option C) mayoccur during Silicosis results from occupation On chest imaging, the diseasepresents with KEY POINTS Asthma Item 24 Triggers include His only other medication is On physical examination Laboratory studies reveal Chest radiograph is Spirometry demonstrates Which of the following is the most appropriate diagnostictest to perform next? Answer: Clinical characteristics suggesting a type 2 asthmaphenotype include KEY POINTS Item 25 is evaluated for On physical examination Spirometry reveals Postbronchodilator testing reveals Chest radiograph is Which of the following is the most appropriate nextdiagnostic step? Answer: KEY POINT DPLD Item 26 On physical examination Chest radiograph reveals Which of the following is the most appropriate diagnostictest to perform next? Answer: K E Y POI N T Item 30 On physical examination Laboratory test results, including serologic tests forconnective tissue disease, are Pulmonary function testing reveals Chest radiograph reveals High-resolution chest CT scan findingsare consistent with Which of the following is the most appropriate treatment? Answer: KEY POINTS PE Item 27 On physical examination A chest radiograph is A ventilation/perfusionlung scan is interpreted as Which of the following is the most appropriate £ 1*1 treatment? Answer: monotherapy for VTE; it must be preceded byheparin therapy Fondaparinux Warfarin is recommended in pregnant women with K EY PO I NT S MV Item 28 Medical history is alsosignificant for On physical examination Which of the following is the most appropriatemanagement? Answer: Potentialcauses of worsening gas exchange include Indicationsinclude needle thoracostomy KEY POINTS Nodule, mass Item 29 On physical examination Laboratory evaluation reveals Which of the following is the most likely diagnosis? Answer: KEY POINT Item 31 Medications are On physical examination Which of the following is the most appropriatemanagement? Answer: K EY P OI N TS Item 32 Her only medications are On physical examination Chest findings are consistent with Pleural fluid studies: Chest radiograph demonstrates Pleural fluid studies: Thoracentesis is Which of the following is the most likely diagnosis? Answer: K EY P OI N TS Item 33 On physical examination Auscultation of the lungs reveals Spirometry shows A high-resolution CT scan of the chest Which of the following is the most likely diagnosis? Answer: KEY POINT Item 34 On physical examination Chest radiograph demonstrates Which of the following is the most appropriate additionaltreatment? Answer: KEY POINT Item 35 On physical examination Laboratory data are Which of the following is the most appropriateresuscitative treatment? Answer: KEY POINTS Item 36 The CTA Medical history is On physical examination A repeat chest CT scan 6 months after the initial scanshows Which of the following is the most appropriatemanagement? Answer: KEY POINT Item 37 She has Medications are On physical examination ECG shows Chest radiograph is Echocardiographyperformed 12 months ago was Which of the following is the most appropriate diagnostictest? Answer: KEY POINTS Item 38 Which of the following is the most appropriatemanagement? Answer: KEY POINTS Item 39 On physical examination CT scan of the chest shows Which of the following pleural fluid tests is mostappropriate in directing therapy? Answer: K EY POI N T Item 40 On physical examination Baseline spirometry is Which of the following inhaled medications is the mostappropriate next step in treatment? Answer: K EY PO I NT S Item 41 On physical examination Forty-five minutes later Which of the following is the most appropriatetreatment? Answer: Untitled Item 42 In the emergency department The fingerstick blood glucose level is Portable chest radiograph shows Which of the following is the most appropriatetreatment? Untitled KEY POINTS Item 43 Laboratory studiesshow Spirometry reveals Chest radiograph is Which of the following is the most likely diagnosis? Untitled Item 44 Medications are On physical examination A 6-minute walk test shows Spirometry shows Chest imaging shows Which of the following is the most appropriate treatment? Answer: KEY POINTS Item 45 Medical historyis significant for On physical examination The initial serum troponin 1 level is An ECGshows Achest radiograph is Which of the following is the most appropriate ox