999

Subjective: CC (chief complaint): “I cannot sleep, and I do not see the point in getting out of bed anymore. It has been getting worse since my wife died.” HPI: M.H., a 74-year-old Caucasian retired machinist, presents for initial assessment with 4 months of persistent low mood, anhedonia, marked fatigue, early morning awakening (2–4 a.m.), impaired concentration, psychomotor slowing noticed by family, and pervasive worry about health and finances. Appetite is decreased with unintent...

Primary Diagnosis: L4 compression fracture secondary to metastatic bone cancer Status/Condition (Critical, Guarded, Stable, etc.): Stable Code Status: Full Code Allergies: NKDA Admit to Unit: med/surg tele Activity Level: Bedrest, then as ordered by specialty Diet: Cardiac IV Fluids: NS @ 100cc/hr- ( to assist with hypercalcemia and clearance) • Critical Drips (If ordered, include type and rate. Do not defer to ICU protocol.): None Respiratory: Oxygen (If ordered, i...

Primary Diagnosis: Hyperthyroidism with thyrotoxic crisis, CAP Status/Condition (Critical, Guarded, Stable, etc.): Critical Code Status: Full Code Allergies: NKDA Admit to Unit: Intensive care unit Activity Level: Bedrest with bathroom privileges with assistance Diet: NPO except for meds until stable, then regular diet IV Fluids: NS 2000cc bolus IV, then D5NS 150cc/hr while NPO • Critical Drips (If ordered, include type and rate. Do not defer to ICU protocol.): None Respira...

Primary Diagnosis: Chronic kidney disease Status/Condition (Critical, Guarded, Stable, etc.): Stable Code Status: Full Code Allergies: NKDA Admit to Unit: Med/surg telemetry Activity Level: BRP as tolerated Diet: Renal/Low sodium IV Fluids: None • Critical Drips (If ordered, include type and rate. Do not defer to ICU protocol.): None Respiratory: Oxygen (If ordered, include type and rate.), pulmonary toilet needs, ventilator settings: Oxygen via NC to maintain saturation of ≥ 9...

Primary Diagnosis: Pulmonary Embolism secondary to deep vein thrombosis Status/Condition (Critical, Guarded, Stable, etc.): Guarded Code Status: Full Code Allergies: NKDA Admit to Unit: ICU Activity Level: Bed rest Diet: Consistent Carbohydrate 1800 calorie IV Fluids: NS 500cc bolus, followed by NS @ 100cc/hr IV • Critical Drips (If ordered, include type and rate. Do not defer to ICU protocol.): 1. Heparin drip PE/DVT protocol- initiate at 80 units/kg bolus, followed by an in...

Primary Diagnosis: Acute Pericarditis Status/Condition (Critical, Guarded, Stable, etc.): Guarded Code Status: Full Code Allergies: Bactrim Admit to Unit: Cardiac telemetry Activity Level: Bedrest with bathroom privileges Diet: Cardiac Low-Sodium IV Fluids: Saline lock • Critical Drips (If ordered, include type and rate. Do not defer to ICU protocol.): None Respiratory: Oxygen (If ordered, include type and rate.), pulmonary toilet needs, ventilator settings: Oxyg...

Primary Diagnosis: Anorexia Nervosa- binging/purging Status/Condition (Critical, Guarded, Stable, etc.): Guarded Code Status: Full Code Allergies: NKDA Admit to Unit: Telemetry Med/Surg Activity Level: Strict bed rest, Bathroom privileges only due to vital sign instability Diet: Meal plan protocol per nutritionist/dietician recommendations IV Fluids: 1000cc NS bolus IV x 1, then 100cc/hr if patient not tolerant of PO fluid intake • Critical Drips (If ordered, include type and ...

Q1: Select the mental function that is most affected in mild cognitive impairment. A: Recent memory Q2: Select the most frequent cause of infant and childhood intellectual disability that is attributed to a specific gene. A: Fragile X Q3: Select the neurotransmitter that is most associated with the occurrence of ADHD. A: Dopamine Q4: Select the drug of choice to treat psychosis in delirious patients. A: Haloperidol Q5: Select the characteristic that is greater in childhood than adult-onset ...

A patient presents to the primary care provider complaining of a rash on his right forehead that started yesterday and is burning and painful. The physical exam reveals an erythematous, maculopapular rash that extends over the patient’s right eye to his upper right forehead. Based on the history and examination, the most likely cause of this patient’s symptoms is: Selected Answer: Ophthalmic zoster Answers: Rhus dermatitis Ophthalmic zoster Chemosis Optic neuritis  Q # 52 1...

Question 1 0.1 / 0.1 pts How many patients must I provide direct care to and log in Meditrek this quarter? 80 100 120 Correct! 160 Question 2 0.1 / 0.1 pts How many clinical hours must I complete this quarter? 80 100 120 Correct! 160 Question 3 0.1 / 0.1 pts Do I need to document all patients I see in Meditrek? Correct! Yes