622 Final Exam Q&a 2024

blowing {Ans: } A 67-year-old man with a history of hypertension and tobacco use presents with a two-day history of hypogastric pain. An examination reveals a 5 cm, non-tender, pulsatile abdominal mass above the umbilicus. Which of the following type of sounds might be heard upon auscultation at the midline, two inches cephalad to the umbilicus?ultrasound every 3 years {Ans: } What is the recommended management for a patient with a 3.5 cm abdominal aortic aneurysm?immediate surgery {Ans: } A 75-year-old man presents to the emergency department with complaints of severe abdominal pain and sweating. The pain started about an hour ago and is becoming worse with time. He has been diagnosed with hypertension and diabetes and is on amlodipine and metformin, respectively. On presentation, the vital signs show blood pressure 70/40 mmHg, pulse 140/min, respiratory rate 32/min, temperature 38.5 C (101.3 F), and oxygen saturation 87% at room air. On physical examination of the abdomen, generalized tenderness and guarding are seen. There is a midline pulsatile mass. What is the next best step in the management of this patient?abdominal CT {Ans: } A 67-year-old male with a history of hypertension and nicotine dependence presents to the emergency department with