$$aortic stenosis%%coarctation of aorta^^cor pulmonale&&systemic hypertension",
"The process that produced the changes in this aortic valve was most likely$$aortic stenosis%%coarctation of aorta^^cor pulmonale&&systemic hypertension",
"The process that produced the changes in this aortic valve was most likely
$$degenerative%%rheumatic^^neoplastic&&traumatic",
"This patient with inoperable carcinoma of the pancreas developed multiple episodes of transient weakness in the extremities and alteration of speech. Vital signs and routine blood studies were normal. Multiple blood curltures revealed no bacterial growth. The best diagnosis based on this photograph is
$$marantic endocarditis%%congenital valve deformity^^metastatic carcinoma&&infective endocarditis",
"This cardiac biopsy is most consistent with which of the following?
$$chronic alcoholism%%hypertrophic cardiomyopathy^^dilated cardiomyopathy&&eosinophilic myocarditis",
"The underlying cause of the alterations of the left ventricle would most likely have been
$$connective tissue disease%%coronary vasospasm^^anemia&&coronary thrombosis",
"Mr. Jones had seemed to recover satisfactorily from his myocardial infarction, however thre weeks after being released from the hospital he experienced severe left flank pain and noted red color to his urine. As his wife was bringing him to the emergency room, he sudenly became aphasic with a flacid right side.
The next two pictures are from the autopsy of Mr. Jones. The first is a cross section of his left ventricle and the second is a microscopic photo of the endocardial region of the ventricle. These show
$$infective endocarditis%%mural thrombus^^extension of the orginal myocardial infarction&&metastatic renal cell carcinoma",
"Mrs. Smith experienced several transient syncopal episodes before she died suddenly while grocery shopping. The following picture is from her autopsy. It shows
$$lipoma%%metastatic carcinoma^^myxoma&&rhabdomyosarcoma",
"Mrs. Helms was ever so fond of smoking cigarettes. It now appears she has
$$gout%%leprosy^^rheumatoid arthritis&&thromboangiitis obliterans",
"The skin lesion seen in this young woman is most consistent with
$$lupus erythematosus%%measles^^secondary syphilis&&eczematous dermatitis",
"Mrs. Robinson complained of intense headaches and temperal tenderness for almost 3 weeks before she suddenly lost the sight of her left eye. The next two photos are relative to her condition.
The disease reflected here has each of the following associations EXCEPT
$$the erythrocytic sedimentation rate is markedly elevated%%the finding of multinucleated giant cells may require multiple sections^^the etiology is M. tuberculosis&&more common in older age groups"
);
var answers = new
Array('c','b','a','b','d','b','c','d','a','c');