Meet Mr. Flores 65-Year-Old Man 10
Days Post Colostomy ACTUAL EXAM |
Summary Patient Care Rounds Bowel
Diversion Results | Miguel Flores |
Complete Patient Care Study Guide |
Verified Q&A | Pass Guaranteed - A+
Graded
,A 33-year-old woman who is obese presents with sudden onset of fever and abdominal pain. On
physical exam she is found to be jaundiced and her blood pressure is 88/58 mm Hg. She has epigastic
pain with palpation. She is found to have elevated liver enzymes and leukocytosis. In addition to
administering broad-spectrum parenteral antibiotics, which of the following interventions is the best
choice for the suspected diagnosis?
A Endoscopic retrograde cholangiopancreatography
B Esophagogastroduodenoscopy
C Laparoscopic cholecystectomy
D Laparoscopic herniorrhaphy
A Endoscopic retrograde cholangiopancreatography
A 48-year-old man presents to the ED with sudden onset abdominal pain. He has been taking over-the-
counter medication for chronic arthritis. His vital signs are T 99.5°F, HR 118 beats/minute, RR 14
breaths/minute, BP 90/65 mm Hg, and oxygen saturation 98% on room air. A chest X-ray is obtained and
is shown above. His ECG shows sinus tachycardia with no ischemic changes or dysrhythmias. Which of
the following is the next best step in management?
A Barium esophagram
,B CT pulmonary angiography
C Exploratory laparotomy
D Serial cardiac enzymes
C Exploratory laparotomy
A 64-year-old man presents for evaluation of a lesion on the face. It has been present for the past six
months. He has tried treating it with various over-the-counter ointments without any success. Physical
examination reveals a flesh-colored papule that has a pearly quality. Telangiectatic vessels are noted
within the papule. Which of the following is the most likely diagnosis?
A Basal cell carcinoma
B Melanoma
C Molluscum contagiosum
D Squamous cell carcinoma
A Basal cell carcinoma
, An 82-year-old woman presents with postprandial cramping abdominal pain, diarrhea, and a weight loss
of 10 pounds over the last five months. Her medical history includes coronary artery disease with
myocardial infarction two years ago, and cerebrovascular accident with residual right arm weakness.
She currently smokes a pack of cigarettes a day. On exam, she shows signs of recent weight loss and has
an epigastric bruit. What is the initial diagnostic study you would order?
A CT angiogram of the abdomen and pelvis
B CT angiogram of the chest
C Mesenteric arteriography
D RUQ ultrasound exam
A CT angiogram of the abdomen and pelvis
A 42-year-old man presents to the clinic complaining of 6 months of intermittent chest pain. He feels the
pain tightening his chest, and it is most noticeable with moderate activity like mowing the lawn or going
for long walks. He has not had a heart attack before but is worried he may have one in the future. He
has no remarkable past medical history, but on initial appearance, he seems overweight. His vital signs
in the clinic show a heart rate of 79 beats per minute and blood pressure of 147/91 mm Hg. Physical
examination is normal. You order an ECG, which shows normal sinus rhythm. Which of the following is
the most appropriate test to determine this patient's cardiac risk?
A Exercise stress ECG
B Pharmacologic stress ECG
Days Post Colostomy ACTUAL EXAM |
Summary Patient Care Rounds Bowel
Diversion Results | Miguel Flores |
Complete Patient Care Study Guide |
Verified Q&A | Pass Guaranteed - A+
Graded
,A 33-year-old woman who is obese presents with sudden onset of fever and abdominal pain. On
physical exam she is found to be jaundiced and her blood pressure is 88/58 mm Hg. She has epigastic
pain with palpation. She is found to have elevated liver enzymes and leukocytosis. In addition to
administering broad-spectrum parenteral antibiotics, which of the following interventions is the best
choice for the suspected diagnosis?
A Endoscopic retrograde cholangiopancreatography
B Esophagogastroduodenoscopy
C Laparoscopic cholecystectomy
D Laparoscopic herniorrhaphy
A Endoscopic retrograde cholangiopancreatography
A 48-year-old man presents to the ED with sudden onset abdominal pain. He has been taking over-the-
counter medication for chronic arthritis. His vital signs are T 99.5°F, HR 118 beats/minute, RR 14
breaths/minute, BP 90/65 mm Hg, and oxygen saturation 98% on room air. A chest X-ray is obtained and
is shown above. His ECG shows sinus tachycardia with no ischemic changes or dysrhythmias. Which of
the following is the next best step in management?
A Barium esophagram
,B CT pulmonary angiography
C Exploratory laparotomy
D Serial cardiac enzymes
C Exploratory laparotomy
A 64-year-old man presents for evaluation of a lesion on the face. It has been present for the past six
months. He has tried treating it with various over-the-counter ointments without any success. Physical
examination reveals a flesh-colored papule that has a pearly quality. Telangiectatic vessels are noted
within the papule. Which of the following is the most likely diagnosis?
A Basal cell carcinoma
B Melanoma
C Molluscum contagiosum
D Squamous cell carcinoma
A Basal cell carcinoma
, An 82-year-old woman presents with postprandial cramping abdominal pain, diarrhea, and a weight loss
of 10 pounds over the last five months. Her medical history includes coronary artery disease with
myocardial infarction two years ago, and cerebrovascular accident with residual right arm weakness.
She currently smokes a pack of cigarettes a day. On exam, she shows signs of recent weight loss and has
an epigastric bruit. What is the initial diagnostic study you would order?
A CT angiogram of the abdomen and pelvis
B CT angiogram of the chest
C Mesenteric arteriography
D RUQ ultrasound exam
A CT angiogram of the abdomen and pelvis
A 42-year-old man presents to the clinic complaining of 6 months of intermittent chest pain. He feels the
pain tightening his chest, and it is most noticeable with moderate activity like mowing the lawn or going
for long walks. He has not had a heart attack before but is worried he may have one in the future. He
has no remarkable past medical history, but on initial appearance, he seems overweight. His vital signs
in the clinic show a heart rate of 79 beats per minute and blood pressure of 147/91 mm Hg. Physical
examination is normal. You order an ECG, which shows normal sinus rhythm. Which of the following is
the most appropriate test to determine this patient's cardiac risk?
A Exercise stress ECG
B Pharmacologic stress ECG
