Complete Solutions
86 yo. patient knee pain, ibuprofen 800mg 4x daily for 6 weeks
injury? Correct Answers intrarenal failure
absense seizure Correct Answers brain waves show generalized
rhythmic activity for a few seconds, but hundreds of times a day.
no unusual muscle activity, except for stopping and starring.
Events during seizure are not remembered
Addison's disease Correct Answers A rare, chronic endocrine
disorder in which the adrenal glands do not produce sufficient
steroid hormones.
ALL Correct Answers acute lymphocytic leukemia
pancytopenia circulating blast
anemia CKD Correct Answers ***anemia of chronic disease
Due to decreased endogenous EPO production (kidneys aren't
working properly)
Esp if CrCl <50
EPO stimulating agents may be given and are the DOC
Epoetin alfa (Procrit), Darbepoetin alga (Aranesp)
Store in fridge, stable for 1w at room temp
Admin by IV infusion or inj
Avoid EtOH and check BP frequently
Hgb should NOT be >13 due to the all-case mortality and
adverse <3 events in pts w/ CKD
, ankle sprain grades Correct Answers Grade 0- No damage, no
limitations
Grade 1: *Slight stretching* to the ligament and very minimal
damage. *Able to ambulate*.
Grade 2: *Partial tear* of the ligament. Laxity is noted. *Painful
weight bearing*.
Grade 3: *Complete tear* of the ligament. Severe pain and
swelling. Instability noted and *unable to bear weight*.
arm drop test Correct Answers (test for rotator cuff tears)
• Abduct pts arms past 90 degrees and ask them to lower slowly
• At about 90 degrees, if the arm suddenly drops, there is
supraspinatus muscle weakness
• May see deltoid muscle attempting to compensate
assess addition risk Correct Answers urine drug screen, chronic
opioid use
Bacterial conjunctivitis Correct Answers pinkeye; very
contagious
***wake up with eyes stuck together
bacterial meningitis presentation Correct Answers - Fever
- AMS
- HA
- stiff neck
- N/V