Exam 45 Questions with 100% Verified Correct
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A 30-year-old male arrived at the emergency room complaining of nausea, vomiting,
abdominal pain, and lethargy. Based on his symptoms, an ABG was ordered. His test
results were pH 7.33 PaCO2- 22 mm/Hg HCO3- 9. What type of imbalance is occurring
in the patient?
A. Uncompensated metabolic acidosis
B. Compensated respiratory acidosis
C. Uncompensated respiratory acidosis
D. Uncompensated metabolic alkalosis
E. Compensated metabolic acidosis - CORRECT ANSWER: E.
A 30-year-old male woman recently gave birth to her first child via Caesarean section.
She was taken to the hospital after complaints of skin rash around the site of her
Caesarean section wound and she also complained of "something oozing from the
scar." A nurse took her back, took her vital signs and found her BP to be extremely low:
100/60. After speaking with the doctor on call, he decides to order further testing and
found her CBC to contain the following: low fibrinogen levels, low antithrombin and a
low platelet count among other things, Based on these results, an initial diagnosis od
sepsis is given. The doctor didn't feel this was enough so he performed a more
thorough exam and found remnants of her placenta that was left in her abdominal cavity
from her Caesarean section. If left untreated, what might be the next sing/symptom to
develop?
A. shock from dehydration
B. massive bleeding
C. severe headache
D. Vo - CORRECT ANSWER: B
, A 38-year-old male presents to the emergency room with fever and a productive cough
with copious sputum. Medical history reveals that he is a recent immigrant with
significant weight loss, and chest x-rays shows small spots in the periphery of his right
lung. Sputum culture is positive for a mycobacterium. A culture of his lung lesions will
show:
A. Liquefactive necrosis
B. Casous necrosis
C. Gangrenous necrosis
D. Coagulative necrosis - CORRECT ANSWER: B
A 41-year-old man has been a smoker since he was 14. He is experiencing muscle
weakness and headaches. He has also been recently diagnosed with lung cancer. His
serum osmolality is decreased. Which of the following may be true?
A. He has SIADH and an excess of ADH
B. He has Addison Disease and a deficiency of ADH
C. He has SIADH and a deficiency of aldosterone
D. He has diabetes insipidus and a deficiency of ADH - CORRECT ANSWER: A.
A 41-year-old man has been drinking large quantities of water--up to 20 liters per day--
for the past week. On physical examination he has diminished skin turgor (a sign of
moderate to severe dehydration) and dry mucous membranes. his serum levels
osmolality is elevated at 343 mOsm/kg. Which of the following is true?
A. He has SIADH and an excess of ADH
B. He has Addison disease and a deficiency of ADH
C. He has Addison disease and a deficiency of aldosterone
D. He has diabetes insipidus and a deficiency of ADH - CORRECT ANSWER: D
A 51-year-old male has a BP of 150/95mmHg (normal<120/80mmHg). If this remains
untreated for years, which cellular alteration will be seen in the heart?
A. Atrophy