Solutions
20% mortality in pregnant pts due to fulminant hepatitis Correct
Answers Hepatitis E
56 y.o. woman complains of increased urination and increased
thirst (~30 days). PT also experiences nocturia. Urine was "not
very yellow" and craved "very cold drinks" Correct Answers
Diabetes Insipidus
A 7 year old boy visits his physician with flu-like symptoms
after previously having abdominal pain. His mother states that
he has a fever and pale appearance. The child has recently been
playing outdoors in the snow.
Sx: flu-like symptoms, fever, pale, reddish-brown urine, URI,
pronounced facial structures
Patho: IgG autoantibodies against the P blood group antigen in
colder portions of the body, like fingers and toes. Cells are
destroyed as erythrocyte recirculate and enzymes of the
complement cascade are activated. Correct Answers Hemolytic
Anemia
A 15 year old African American female visits her doctor's office
with her parent to talk about the dizziness she is experiencing
especially upon standing. She also feels weak and has been tired
for a few days. She has been unable to participate in
extracurricular school activities including band practice. She
, takes a prescribed pain medication as needed for her sickle cell
disease.
Sx: SOB, dizzy, pale skin, fever, fatigue, sickle cell disease
Patho: CBC shows low red blood cell levels from bone marrow
and can lead to a viral infection. Correct Answers Aplastic
anemia
A 15 year old boy falls down while playing basketball and
scrapes his knee. He complains of sharp and well-localized pain.
Which of the following would describe his pain? Correct
Answers Somatic pain
A 19 yr old female presents to the Emergency Department with
severe, sudden onset of abdominal pain in the lower right
quadrant. You would consider all of the following as possible
diagnoses except: Correct Answers Splenomegaly
A 41 yr old man has been a smoker since he was 14 years old.
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? Correct
Answers He has SIADH and an excess of ADH
A 41 yr 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 osmolality
is elevated at 343 mOsm/kg. Which of the following is true?