, Question 1 points
An 18-year-old man presents with periumbilical pain, vomiting, and abdominal cramping over the past
48 hours. Physical examination reveals rebound tenderness and laboratory analysis shows the
presence of bandemia and a total WBC of 28,000 mm3. To support the diagnosis of acute appendicitis
with suspected appendiceal rupture, you consider obtaining the following abdominal imaging study:
Question options:
1) Magnetic resonance image (MRI).
2) Computed tomography (CT) scan.
3) Ultrasound.
4) Flat plate.
Question
2 points
Gina is 2 years old and presents with a 3-day history of fever, crankiness, and congested cough. Her
respiratory rate is more than 50% of the upper limits of normal for age. Tubular breath sounds are noted
at the right lung base. Skin turgor is normal, and she is wearing a wet diaper. She is alert, resisting the
examination as age appropriate, and engages in eye contact. Temperature is 38.3° C (101° F). Gina's
diagnostic evaluation should include:
Question options:
1) chest x-ray.
2) urine culture and sensitivity measurement.
3) lumbar puncture.
4) sputum culture.
Question
3 points
Aortic stenosis in a 15-year-old male is most likely:
Question options: