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Low grade lumbosacral achiness for as long as he can remember. Narrow lucency
down the middle of the L5 spinous process present. Patent sacroiliac joints. Congenital
abnormality - ANSWERS-spina bifida occulta.
History of palpitations and dyspnea + PMH of coronary artery disease and HTN. Lungs
are clear to auscultation. Most appropriate pharm agent to control the HR - ANSWERS-
diltiazem. Adenosine is a short-acting agent that temporarily blocks AV nodal
conduction. It's primarily used for paroxysmal supraventricular tachycardia (PSVT),
especially in cases of reentrant arrhythmias involving the AV node (like AV nodal
reentry tachycardia).
6yr old with reddish colored urine for the past 5 hrs. Rat poison ingestion. UA reveals
too numerous to count erythrocytes. Hematuria is due to - ANSWERS-inhibition of
factor 7 synthesis. Rat poison is a vitamin k analog like warfarin and results in lack of
factor 7. Heparin is an antithrombin 3 analog - but that is not present in rat poison.
2 weeks history of productive cough, fatigue, intermittent mild fever. Sputum has tinged
discolored red streaks. Lung auscultation reveals bilateral wheezes as well as increased
respiratory rate. No posterior nasal drainage. Diagnosis - ANSWERS-bronchitis. Shows
lower respiratory sx unlike strep pharyngitis which would present with upper respiratory
sx and sore throat.
, 68 yr old woman with T2DM, HTN, hyperlipidemia. Menopause at 52. DXA scan -2.1.
Add calcium, vitamin D and what med - ANSWERS-alendronate to prevent osteoporosis
(Inhibits osteoclast activity, reducing bone resorption - bisphosphonate)
What is the Pearson correlation value for this data set? - ANSWERS-correlation close to
0.00.
78 yr old presents to office with 1 week history of lower abdominal pain and urinary
hesitancy with interrupted flow. Enlarge, firm, tender prostate. PSA is normal. Gram
pos, catalase neg coccus. Etiological agent - ANSWERS-Enterococcus faecalis .
75 yr old pruritic vulvar lesion which she first noticed 1 week. White, flaky, slightly
roughened lesion with focal areas of ecchymoses from scratching. Thinning of the
squamous epithelium. Hypocellular collagenous tissue. Dx - ANSWERS-lichen
sclerosus et atrophicus.
37 yr old man presents with pruritus and bullae that are localized to sun exposed areas
of the skin. Urine sample is reddish brown in appearance and pink under fluorescent
light. Elevated glucose, alanine aminotransferase, aspartate aminotransferase. What
would be elevated - ANSWERS-uroporphyrinogen III. Porphyria cutanea tarda (PCT).
Weakness and numbness in his right upper extremity following a shoulder injury.
Reveals anesthesia along the lateral aspect of the arm and forearm, including the
thumb. Biceps ad brachioradialis reflex are 0/4 on the right and 2/4 on the left. Which
additional muscle is diminished - ANSWERS-abduction of the humerus. Axillary n. C5-
C6 (from the brachial plexus).
Mandibular fracture, nerve that carries the pain sensation is the - ANSWERS-inferior
alveolar N. Lingual N. branches off earlier and provides sensation to anterior 2/3 of
tongue and floor of mouth.
Patient is retching, vomiting small amount of blood, history of AUD. Nonpentrating
mucosal tear of the posterior wall superior to the gastroesophageal junction that
continues to the esophageal wall compromises - ANSWERS-vagal trunk (runs posterior
to the esophagus). Mallory-Weiss syndrome.