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Question

Atrial myxoma is associated with the following except:

The correct answer is
Systolic murmur at apex

To identify the condition associated with atrial myxoma, it's important to understand the clinical manifestations of this condition. Atrial myxoma is a type of primary heart tumor, often found in the atria, and has certain characteristic symptoms and signs due to its mechanical effect within the heart and systemic effects from cytokine production.

  1. Fever and Weight Loss: These are constitutional symptoms often seen in patients with atrial myxomas. They occur due to the release of cytokines like interleukin-6 from the tumor, which can cause systemic inflammation and symptoms similar to chronic infection or malignancy.
  2. Subungual Splinter Haemorrhages: These are small areas of bleeding underneath the fingernails or toenails and can be associated with systemic embolization from parts of the myxoma breaking off and traveling in the bloodstream. This is a known feature of atrial myxoma.
  3. Systolic Murmur at Apex: This is generally not associated with atrial myxoma. Myxomas can cause obstruction of blood flow within the heart, potentially leading to a diastolic murmur, but a systolic murmur at the apex is typically more associated with mitral regurgitation or stenosis due to other causes.

Conclusion: Considering the information above, the feature not typically associated with atrial myxoma is "Systolic murmur at apex." This option is generally more indicative of valvular heart disease rather than a myxoma.

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Important Questions from General Clinical Conditions

  1. In which of the following SA node dysfunction conditions, permanent pacing may NOT be required?
    1. Beta blocker drugs
    2. Narcotic drugs
    3. Iatrogenic-Post RT/Surgery
    4. Hypothyroidism
    5. Sick sinus syndrome
    6. Raised Intracranial tension
    Select the correct answer using the code given below.
  2. Consider the following statements regarding Weight Loss:
    1. 4.5 kg over 6-12 months
    2. 10 kg over 6-12 months
    3. More than 5% over 6-12 months
    4. More than 10% over 6-12 months
    Which of the above constitute significant or clinically important weight loss?
  3. The ‘Y' descent in JVP waveform represents:
  4. While distinguishing a venous pulsation from the arterial pulsation in neck, which of the following is NOT correct?
  5. Regardless of the infectious agent, the most characteristic symptom of infectious esophagitis is:
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