A 54-year-old male was found to have a blood pressure of 160/94 mmHg on several occasions. The most likely cause?
Chronic renal failure
Mr X, a 61-year-old SCUBA trainer and a heavy smoker complained of occipital headache and blurring of vision. His BP was 200/110 mmHg. After emergency treatment, Mr X underwent a biopsy which appears below. What is the arrow pointing to?
A middle-aged man died in a car crash. His personal belongings included an unused strip of Atenolol. Appearance of his kidney at autospy is shown. What is the most likely diagnosis?
No significant pathology
A middle-aged man died in a car crash. His personal belongings included an unused strip of Atenolol. The image below shows the suspected cause of his car crash. What is the diagnosis?
Tuberculoma of brain
A 61-year-old retired school teacher had mild hypertension not responding to treatment. She also complained of muscle weakness. Her plasma renin level was low. What is the most likely diagnosis?
Adrenal cortical tumour
32-year-old woman with long-standing dysponeoa and cough. Afebrile. Recently developed pedal oedema. Chest examination shows bilateral crepitations, mid-diastolic murmur. Gross specimen of lung is shown. What is the diagnosis?
Chronic venous congestion
75-year-old man, died of chronic cor pulmonale. Liver at autopsy is shown. What is the diagnosis?
Cirrhosis of liver
48-year-old chronic alcoholic with exertional dyspnoea, cough, fatigue. Examination shows afebrile, generalised oedema, bilateral crepitations. No evidence of iscahemia or valvular disease. Gross heart specimen is shown. What is the diagnosis?
Chronic cor pulmonale
Atrial septal defect
Ventricular septal defect
In a patient who has sustained myocardial injury, which of the following is the earliest step in the development of heart failure?
Loss of parasympathetic impulses