PKG
Forum Senior
Topics: 25
Posts: 62
|
1) 72 year old man has 3 years of progressive cognitive impairment due to alzeimers disease.he has nocturnal disorientation for 2 weekslives at home with wife, takes no meds, physical exam is normal.disoriented to time and place, poor short term memory.unable to do simple arithmetic and has poor understanding of general information.which of the following is the most appropriate initial tep in the management?
increased inhome lighting
use of night time mechanical restraints
the other options were to give chloral hydrate, haloperidol, diazepam
2) 35 year old woman is brought to the ER becos od shortness of breath, tightness in the chest and palpitation for 2 hours.over the past 11 months , she has had 5 similar episodesduring the last episode , 3 weeks ago, she was started with IV medications that caused conversion to sinus rhythm.her bp is 95/0 and p=165/min.lungs are clear to auscultation which of the following is the most likely arrythmia?
psvt
premature supraventricular beats
accelerated junctional rhythmmultifocal atrial tachycardia
accelerated idioventricular rhythm
normal sinus rhythm
premature ventricular beats
ventricular tachycardia
3)2 days after a cholecystectomy, 42 year old woman has shortness of breath. temp=99.5, pulse =103, RR=24, bp=110/70.there is abdominal tenderness and x ray chest shows minimal linear markings in the right lower lobe.ABG on 45 percent oxygen showsph=7.41, pco2=40, po2=52.
whats the cos of her hypoxia
CCF
fat embolism syndrome
atelectasis
ards
pneumonia
pneumothorax
4)1 week after undergoing uncomplicated liver transplant for biliary atresia,a 3 year old boy appears jaundicedsgot=1300, sgpt=2500serum bilirubin is 3.5 mg/dl, serum alk phos 100. which artery is most likely responsible for the gastrointetinal symptoms?
folks see if you can answer this q with out choice.
|
| srf
Forum Guru
Topics: 73
Posts: 405
|
increased inhome lighting
psvt
pneumonia
hepatic
___________________
life is reality without an eraser
|
| PKG
Forum Senior
Topics: 25
Posts: 62
|
srf, i agree with you on all the answers except number 4. chest xray does not show any evidence of consolidation .......so why pneumonia......although....i dont know what the correct answer is. can you explain?
|
| Rasul
Forum Guru
Topics: 56
Posts: 485
|
inhome lighting
psvt
atelectasis
hepatic
|
| Jinx
Forum Elite
Topics: 17
Posts: 316
|
not sure between atelectasis/pneumonia--can anyone help?
___________________
Life is a journey--enjoy the drive!!
|
| Rasul
Forum Guru
Topics: 56
Posts: 485
|
Minimal linear mrkings on CXR=atelectasis
|
| Jinx
Forum Elite
Topics: 17
Posts: 316
|
thanx Rasul
___________________
Life is a journey--enjoy the drive!!
|
|
| |
| | | | | | | |
