CME RESOURCES FINAL EXAM

A few weeks following a spontaneous abortion a patient presents for routine follow-up. She questions "Why do you think that I lost the baby?" Best response? The embryo likely had a chromosomal abnormality. A patient has a cough with purulent sputum. She experienced a single shaking chill at the onset of her illness. What suggests lobar pneumonia? Unilateral egophony & dullness to percussion: Lobar pneumonia causes consolidation. Denser lung tissue is dull to percussion and associated with localized egophony and increased tactile fremitus. Things to Look Out for When Buying a Used Caravan 0:12 / 1:05 A patient complains her cycles are regular but have changed; she has increasing pelvic discomfort & vaginal bleeding. Uterus is soft, mildly enlarged in size, and symmetrically. Adnexa is normal with tenderness during the exam. Diagnosis? Adenomyosis An asymptomatic patient, tests for occult fecal blood. She has has a history of hypertension and takes a daily diuretic. No history of cancer. Next step? Colonoscopy An asthmatic presents with an exacerbation of his asthma. What history makes it appropriate to admit? He has a history of severe asthma episodes requiring admission to the ICU on several occasions and was intubated twice A patient presents with thermal burns involving the entire left upper extremity anteriorly and posteriorly as well as circumferential burns of the left thigh, the buttocks and the lower back ipsilaterally. Percentage of body surface? 27%