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Cairo University – Faculty
of Medicine
Cardiovascular
Diploma,
Part II, Paper (1).
May, 2003.
Time allowed: 3 hours.
1- A 14 years old boy was seen in acute pulmonary edema. He
had a history of rheumatic fever at the last 3 years with
mild mitral valve incompetence. On examination, the pulse
was irregular of 136 bpm., BP 90/70 mmHg and temperature of
38 C. On cardiac examination ; the apex was forceful with apical systolic murmur of grade
2/4. Chest auscultation; bilateral basal crepitations to the
angle of the scapulae.
A-
What is the possible causes of deterioration of his
condition?
(15 marks)
B- Discuss the
management of this case.
(15 marks)
2- Give a short account on the
following:
A- In-stent restenosis.
(15 marks)
B- Causes of acute
pericarditis.
(15 marks)
3- Discuss the following:
A- Management of dilated
cardiomyopathy with refractory heart failure.
(20 marks)
B- Differential diagnosis of a
continuous murmur over the chest in a 3 years old
child.
(20 marks)
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