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 Answers 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 Answers 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 Answers 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
Answers 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