1. A 26 y/o male complains of chest ache and hemoptysis. He has a effective cough with
purulent discharge and a low-grade fever. What ought to you think? - ANS-Tuberculosis
(tuberculosis can gift with different manifestations of the clinical situations. Common S/S
which might be presented with this disorder are night sweats, hemoptysis, chills, fever,
fatigue, effective or nonproductive cough, and weight loss. If you watched tuberculosis
you need to right away don a N95 respirator and location a mask over the patent as well
for further protection)
2. A 27 y/o woman complains of fashionable weak spot. She tells you that she feels "risky"
when she walks so she lay down within the bed. She is supine in mattress and turned
into incontinent. She is out of her prescribed methylprednisolone. What need to you
observed? - ANS-Multiple Sclerosis (reasons demyelination of the nerve cells and nerve
fibers from the brain and spinal wire, this consequences in weak point of 1 or greater
limbs, sensory loss, parenthesis, and modifications in imaginative and prescient.
Steroids are used for treatment of the swelling nerve fibers.)
3. A 28 y/o girl complains of surprising onset of dyspnea while eating in a restaurant. Her
tongue is swelling and she or he has urticaria on her neck. VS are BP 86/forty four, P
116, R 18 with wheezing. What ought to you administer? - ANS-Epinephrine .3 to .5 IM
1:1000 (have to suspect anaphylactic shock)
4. A 31 y/o woman complains of diplopia and nausea with vomiting. She has a
nicely-developed goiter and is sweating profusely. VS are BP 132/ninety two, P 104, R
18. What have to you watched? - ANS-Thyrotoxic crisis (suspect a thyroid typhoon,
subject remedy is specially supportive in nature)
5. A 39 y/o girl complains of chronic left-sided flank ache that radiates to her hip/ She
referred to as EMS because the pain is "unbearable." VS are BP 133/86, P 104, R
sixteen. What ought to you do? - ANS-Administer four mg morphine sulfate (she is
providing with S/S of a kidney stone, comply with local protocol for analgesics for the
pain)
6. A forty one y/o male back from a scuba diving ride 12 hours in the past. He complains of
a gradual onset of stiff joints and a headache. His skin is mottled advert his VS are BP
one hundred ten/74, P 112, R 22, SpO2 82% on excessive-flow oxygen. What must you
do? - ANS-Transport him to a hyperbaric facility
7. A 52 y/o male complains of sharp abdominal pain that radiates to his back for the past 5
days. He is nauseated with vomiting and diarrhea. He has right upper quadrant,
mid-stomach tenderness and Cullen's sign. He tells you that he has a Hx of alcoholism.
What should you think? - ANS-Pancreatitis (pancreatitis can get intrabdominal bleeding
to occur, alcoholism can purpose pancreatitis, digestive enzymes which can be produced
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