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185198 Medicine

A 78-year-old woman has an acute anterior wall MI with hypotension and pulmonary congestion. Her blood pressure is 90/70 mm Hg, pulse 110/min, JVP at 8 cm, and the heart sounds are normal. The lungs have bibasilar crackles, and her extremities are cool and diaphoretic. What would central hemodynamic monitoring reveal?For the above patient, select the hemodynamic parameters that are most likely to apply.

Adecreased right atrial pressure (RAP), low cardiac output (CO), and increased systemic vascular resistance (SVR)
Bincreased RAP, decreased CO, increased SVR
Cincreased RAP, decreased CO, decreased SVR
Ddecreased RAP, increased CO, decreased SVR
Medicine
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185201 ENT

A 38-year-old gentleman repos of decreased hearing in the right ear for the last two years. On testing with a 512 Hz tuning fork, the Rinne&;s test without masking is negative in the right ear and positive on the left ear. With Weber&;s test, the tone is perceived as louder in the right ear. The most likely diagnosis in the patient is

ARight conductive hearing loss
BRight sensorineural hearing loss
CLeft sensorineural hearing loss
DLeft conductive hearing loss
ENT
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