a****9
发帖数: 773 | 1 45. Six weeks after spontaneous drainage of an anal abscess, a 32-year-old
man has persistent blood-stained purulent fluid on his underwear. He has not
had significant anal pain since drainage of the boil. Bowel movements are
normal. Which of the following is
the most likely diagnosis?
A) Anal fissure
B) Fistula in ano
C) Pruritus ani
D) Thrombosed external hemorrhoids
E) Thrombosed internal hemorrhoids |
a****9
发帖数: 773 | 2 A 50-year-old man with a 20-year history of type 2 diabetes mellitus has had
sensory neuropathy for 2 weeks. Pulses are decreased at the ankle. There is
no peripheral edema. His serum glucose levels have been between 150 mg/dL
and 200 mg/dL over the past 6months. Which of the following is the most
effective measure to prevent serious foot infections?
A) Use of support hose
B) Use of well-fitted shoes
C) Prophylactic antibiotics
D) Daily aspirin and dipyridamole
E) Decrease in serum glucose level |
a****9
发帖数: 773 | 3 A 5-year-old girl is brought to the physician 30 minutes after being bitten
on the forearm by her cat. Examination shows a small puncture wound covered
with dried blood. She is at increased risk of infection for which of the
following reasons?
A ) Arm wounds are more susceptible to infection
B ) Salivary enzymes in cats augment infection
C ) It is difficult to cleanse pathogens from this wound
D ) The Staphylococcus species involved is particularly virulent
E ) Young children are less able to re |
a****9
发帖数: 773 | 4 A 42-year-old woman comes for a follow-up examination. Two weeks ago, her
blood pressure was 152/94 mm Hg during a routine visit. Her blood pressure
today is 150/94 mm Hg, pulse is 76/min, and respirations are 14/min.
Examination shows no other abnormalities. Serum studies show:
Na+ 142 mEq/L
Cl– 105 mEq/L
K+ 4 mEq/L
HCO3– 26 mEq/L
Urea nitrogen (BUN) 12 mg/dL
Glucose 101 mg/dL
Creatinine 0.8 mg/dL
An ECG shows no abnormalities. Which of the following is the most
appropriate next step in managem |
c*******c
发帖数: 62 | 5 32-year-old with persistent purulent discharge on underwear
-> B. Fistula in Ano
To prevent serious diabetic foot infection the future
-> Either B or E.
5-year-old girl bitten by her cat
-> C. Cat bites tend to cause deep puncture wounds, setting up an
environment for anaerobic infection. If asked, you should give Augmentin
prophylactically to cover Pasteurella multocida and other anaerobic bacteria
. |
d****2
发帖数: 118 | 6 B
【在 a****9 的大作中提到】
: A 42-year-old woman comes for a follow-up examination. Two weeks ago, her
: blood pressure was 152/94 mm Hg during a routine visit. Her blood pressure
: today is 150/94 mm Hg, pulse is 76/min, and respirations are 14/min.
: Examination shows no other abnormalities. Serum studies show:
: Na+ 142 mEq/L
: Cl– 105 mEq/L
: K+ 4 mEq/L
: HCO3– 26 mEq/L
: Urea nitrogen (BUN) 12 mg/dL
: Glucose 101 mg/dL
|
a****9
发帖数: 773 | 7 thanks guys! U r so lovely!
I found a anwere key file online. which obviously is full of many mistakes.
Anyone here have nice answer key to share? |
a****9
发帖数: 773 | 8 45. A 42-year-old woman comes to the physician because of increasing low
back pain for 2 days. She is a daily intravenous drug user. She has a
history of pyelonephritis, abscesses at injection sites, and pelvic
inflammatory disease. Her temperature is 39 C(102.2 F), blood
pressure is 130/70 mm Hg, pulse is 84/min, and respirations are 20/min.
Examination shows warm, dry skin, a supple neck, and no jugular venous
distention. There is tenderness over L4. Pelvic examination shows mild
erythema arou |
m****n
发帖数: 322 | 9 B
not
【在 a****9 的大作中提到】
: 45. Six weeks after spontaneous drainage of an anal abscess, a 32-year-old
: man has persistent blood-stained purulent fluid on his underwear. He has not
: had significant anal pain since drainage of the boil. Bowel movements are
: normal. Which of the following is
: the most likely diagnosis?
: A) Anal fissure
: B) Fistula in ano
: C) Pruritus ani
: D) Thrombosed external hemorrhoids
: E) Thrombosed internal hemorrhoids
|
m****n
发帖数: 322 | 10 B
had
is
【在 a****9 的大作中提到】
: A 50-year-old man with a 20-year history of type 2 diabetes mellitus has had
: sensory neuropathy for 2 weeks. Pulses are decreased at the ankle. There is
: no peripheral edema. His serum glucose levels have been between 150 mg/dL
: and 200 mg/dL over the past 6months. Which of the following is the most
: effective measure to prevent serious foot infections?
: A) Use of support hose
: B) Use of well-fitted shoes
: C) Prophylactic antibiotics
: D) Daily aspirin and dipyridamole
: E) Decrease in serum glucose level
|
|
|
m****n
发帖数: 322 | 11 C...if not remember wrong, the cat bite is much worse than dog's because of
the teeth difference?
bitten
covered
【在 a****9 的大作中提到】
: A 5-year-old girl is brought to the physician 30 minutes after being bitten
: on the forearm by her cat. Examination shows a small puncture wound covered
: with dried blood. She is at increased risk of infection for which of the
: following reasons?
: A ) Arm wounds are more susceptible to infection
: B ) Salivary enzymes in cats augment infection
: C ) It is difficult to cleanse pathogens from this wound
: D ) The Staphylococcus species involved is particularly virulent
: E ) Young children are less able to re
|
a****9
发帖数: 773 | 12 thank you guys so much again! and one more here:P
9. A previously healthy 72-year-old man comes to the physician because of a
2-year history of hand tremors and progressive difficulty walking. He lives
alone and has no close relatives. He is alert and oriented. Physical
examination shows a decreased rate of eye blinking. Neurologic examination
shows masked facies and a pill-rolling resting tremor of both hands. There
is cogwheel rigidity of the upper extremities and generalized bradykinesia.
His |
m****n
发帖数: 322 | 13 D?
a
lives
.
【在 a****9 的大作中提到】
: thank you guys so much again! and one more here:P
: 9. A previously healthy 72-year-old man comes to the physician because of a
: 2-year history of hand tremors and progressive difficulty walking. He lives
: alone and has no close relatives. He is alert and oriented. Physical
: examination shows a decreased rate of eye blinking. Neurologic examination
: shows masked facies and a pill-rolling resting tremor of both hands. There
: is cogwheel rigidity of the upper extremities and generalized bradykinesia.
: His
|
a****9
发帖数: 773 | 14 Yes, I choosed D too. However, the answer key said it's B : decreased eye
blinking.
【在 m****n 的大作中提到】
: D?
:
: a
: lives
: .
|
a****9
发帖数: 773 | 15 En, I agree with you for all.
the anwer key was E: control blood glucose level for foot infection in DM
pts.
However, I did not find this info from books or internet resources.
The anwere key for cat bit question is B: saliva . I understand that the
saliva of cat contains a lot of bateria, but the purpose of the question is
to ask anatomical factors, trauma type or pathogen type for severer
infection?
bacteria
【在 c*******c 的大作中提到】
: 32-year-old with persistent purulent discharge on underwear
: -> B. Fistula in Ano
: To prevent serious diabetic foot infection the future
: -> Either B or E.
: 5-year-old girl bitten by her cat
: -> C. Cat bites tend to cause deep puncture wounds, setting up an
: environment for anaerobic infection. If asked, you should give Augmentin
: prophylactically to cover Pasteurella multocida and other anaerobic bacteria
: .
|
a****9
发帖数: 773 | 16 Ummm. I thought it's essential hypertension and choose B too.
However, the answer key is E. catopril renal scan???
【在 d****2 的大作中提到】
: B
|
a****9
发帖数: 773 | 17 A 5-month-old boy is brought to the physician because of a 24-hour history
of fever, cough, noisy breathing, and difficulty feeding. His symptoms began
3 days ago with nasal discharge, mild cough, and chest congestion. He
appears somewhat irritable and is crying. His temperature is 38.5 C (101.3 F
), pulse is 108/min, and respirations are 32/min and shallow with a
prolonged expiratory phase. On examination, the throat appears normal. A few
small anterior and posterior cervical nodes are palpable |
