Exam (elaborations)
AMLS FRÅGOR FRÅN BOKEN QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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AMLS FRÅGOR FRÅN BOKEN QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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AMLS FRÅGOR FRÅN BOKENQUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
1. A 33-year-old man has right lower quadrant abdominal pain and vomiting.
Five minutes after you administer a dose of ondansetron, he vomits forcefully.
His vital signs are now include a blood pressure of 102/72 mm Hg; a pulse rate of 52 beats/min, and
respirations of 20 breaths/min. The alteration in his vital signs is likely related to:
a. Cardiac conduction defect
b. Fluid loss
c. Medication side effects
d. Vagal stimulation - ANSWER d. Vagal stimulation
Rationale: The vagus nerve plays a role in GI stimulation. It also exerts parasympathetic stimulation on
the SA node and AV node in the heart.
2. Your patient is complaining of a cramping pain around her umbilical area that won't let up. This is
most suggestive of disease involving the:
a. Appendix
b. Gallbladder
c. Liver
d. Ovary - ANSWER a. Appendix
Rationale: Visceral pain in the periumbilical area often relates to the appendix, small bowel, or cecum.
3. A 43-year-old man with diffuse abdominal pain and vomiting has a yellowish discoloration of his
sclera. This indicates he has excess serum:
, a. Amylase
b. Bilirubin
c. Fibrinogen
d. Protein - ANSWER b. Bilirubin
Rationale: Jaundice occurs in patients who have excessive bilirubin. This is often seen in advanced
hepatitis.
4. A 42-year-old man complains of a gnawing, severe pain in the epigastric area that radiates to his back.
His vital signs include a temperature of 102°F, a blood pressure of 94/68 mm Hg, a pulse rate of 128
beats/min, and respirations of 24 breaths/min.
Your highest priority intervention would be to administer:
a. Metoclopramide, 5 mg IV
b. Morphine, 2 mg IV
c. Normal saline, 250 mL bolus
d. Thiamine, 100 mg IV - ANSWER c. Normal saline, 250 mL bolus
Rationale: The patient has signs of impending shock. Fluid resuscitation has the highest priority.
5. A 22-year-old woman at a restaurant is complaining of abdominal pain and diarrhea. Her skin is
flushed, and she feels faint. Her vital signs include a blood pressure of 98/50 mm Hg, a pulse rate of 124
beats/min, and respirations of 24 breaths/min.
Which finding in her SAMPLER history is most likely to guide your differential diagnosis for this patient?
a. Medical history includes endometriosis.
b. Home medicines include Tegretol (carbamazepine) and Keppra (levetiracetam).
c. Illness began about 10 minutes after eating.
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