rubyedward
Forum Elite
Topics: 12
Posts: 197
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sorry for the mess for posting 4 q at a time, but to save the time for browsing....
1) what’s the most effective way to prevent kidney stones?<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
a- exercise
b- diet
c- hydration
d- periodic U/A
2) 25 y/o female G1P0, 16 wks of gestation, presents with vaginal bleeding & cramps. No products of conception is expelled yet. What’s the next step of Mx?
a- Adimt to hospital, observation & monitoring
b- Bed rest at home
c- Admit to hospital, D&C
3) to prevent hepatitis B in a IV drug abuser, what would you do?
a- HBV vaccine
b- HBV Ig
c- Both
d- etc
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4) patient presents with trauma to base of neck, damage to which structure causes most severe compromise of cardiorespiratory system?
a- thoracic aorta
b- jugular vein
c- esophagus
d- SVC
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| chemamr
Moderator and PGY1
Topics: 703
Posts: 4,441
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I guess C, B, A, A
Am I right? 
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| ayeshah_l
Forum Elite
Topics: 29
Posts: 284
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1. C
2. If bleeding has stopped...B, if it hasn't then A
3. A
4. A
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| rubyedward
Forum Elite
Topics: 12
Posts: 197
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thanks guys. i don't have answers for them. well as for 2, i'm also confused bet. A n B. but most of the pts. seldom resolve bleeding spontaneously, should be A, right?? seems like ectopic preg or threatened abortion.
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| ayeshah_l
Forum Elite
Topics: 29
Posts: 284
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yes, u just have to judge by the Q stem. If pt. unstable ...admit. If pt. stable baby fine, home near the hosp. send home
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| Vai
Forum Elite
Topics: 30
Posts: 195
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you miss an important detail : how is the cervix?, if cervix is close, bleeding stop and very important cramps stop(uterin cramps are specific for inevitable ab. but may be present in threatened some time): first do an ultrasound, if all ok send home, 24-48h bed rest, no activity, no coitus, no douching and no hormon therapy.in any other situation choice b is incorrect. After how present this woman you have two variants: 'a'-if the cervix is close, if the cervix is dilated - counseling regarding the fate of pregnancy- answer 'c' ( is an inevitable abortion)
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