j*****o
发帖数: 137 | 1 A 3-month-old boy is brought to the physician in January because of
difficulty breathing, clear nasal discharge, and cough for 24 hours. His
temperature is 37.6°C (99.6°F), blood pressure is 88/54 mm Hg,
pulse is 168/min, and respirations are 60/min. Bilateral wheezing,
prolonged expiration, and a grade 2/6 systolic murmur along the left sternal
border are heard. The liver is palpated 3 cm below the right costal margin.
An x-ray film of the chest shows bilateral hyperinflation and no
cardiomegaly. Which of the following is the most likely diagnosis?
O A) Adenovirus pneumonia
O B) Congestive heart failure
O C) Influenza A virus pneumonia
O D) Respiratory syncytial viral bronchiolitis
O E) Staphylococcal pneumonia
0 F) Status asthmaticus |
j*****o
发帖数: 137 | 2 one more
A 70-year-old man comes to the physician because of knee pain that has been
present for 10 years. He is unable to comfortably walk further than one
block and has difficulty sleeping because of the pain. He has pain on both
medial and lateral sides of the knee. Range of motion is from 15 to 100
degrees, there is a bowleg deformity when he stands. select the most
appropriate next step in management.
C A) Anterior cruciate ligament reconstruction
C B) Arthroscopic partial meniscectomy
C C) Quadriceps strengthening exercises
C D) Sympathetic blockade
C E) Total knee replacement
C F) Upper tibial osteotomy |
j**********0
发帖数: 391 | 3 我选D。
Hg,
sternal
margin.
【在 j*****o 的大作中提到】
: A 3-month-old boy is brought to the physician in January because of
: difficulty breathing, clear nasal discharge, and cough for 24 hours. His
: temperature is 37.6°C (99.6°F), blood pressure is 88/54 mm Hg,
: pulse is 168/min, and respirations are 60/min. Bilateral wheezing,
: prolonged expiration, and a grade 2/6 systolic murmur along the left sternal
: border are heard. The liver is palpated 3 cm below the right costal margin.
: An x-ray film of the chest shows bilateral hyperinflation and no
: cardiomegaly. Which of the following is the most likely diagnosis?
: O A) Adenovirus pneumonia
: O B) Congestive heart failure
|
j*****o
发帖数: 137 | 4 A 55-year-old man with alcoholic cirrhosis is hospitalized for 2 weeks in
April for treatment of gastrointestinal bleeding. His last immunization for
diphtheria-tetanus (Td) was 6 years ago. Which of the following is the most
appropriate management prior to discharge?
A ) Administration of immune globulin
B ) Inactivated poliovirus vaccine
C ) Influenza virus vaccine
D ) Pneumococcal vaccine
E ) Td toxoids |
j**********0
发帖数: 391 | 5 我选E.
been
【在 j*****o 的大作中提到】
: one more
: A 70-year-old man comes to the physician because of knee pain that has been
: present for 10 years. He is unable to comfortably walk further than one
: block and has difficulty sleeping because of the pain. He has pain on both
: medial and lateral sides of the knee. Range of motion is from 15 to 100
: degrees, there is a bowleg deformity when he stands. select the most
: appropriate next step in management.
: C A) Anterior cruciate ligament reconstruction
: C B) Arthroscopic partial meniscectomy
: C C) Quadriceps strengthening exercises
|
j*****o
发帖数: 137 | 6 41. During a routine examination, a 20-year-old man is found to have a firm,
bilaterally enlarged thyroid gland and lymphadenopathy. His father died of
thyroid cancer at the age of 40 years. Which of the following hormones is
most likely associated with this patient's findings?
A) ACTH
B) ADH (vasopressin)
C) Aldosterone
D) Calcitonin
E) Growth hormone
F) G3-hCG
G) Insulin
H) Parathyroid hormone
I) Thyroid-stimulating hormone
J) Thyroxine (T4)
What is the answer and desease on this patient? |
j*****o
发帖数: 137 | 7 Can you give your explanation please? |
j*****o
发帖数: 137 | 8 Twelve days after sustaining a cerebral infarction, a 72-year-old man has
fever and cough. Initial symptoms included inability to move his right arm
and leg, swallow, speak, or respond to questions. He has been receiving a
diet of pureed foods since he recovered his ability to swallow 3 days ago.
He is wearing false teeth. His temperature now is 38.8°C
(101.8°F), blood pressure is 135/85 mm Hg, pulse is 94/
min, and respirations are 28/min. Examination shows moderate weakness of the
facial muscles and right extremities. Gag reflex is absent. Breath sounds
are decreased, and there is dullness to percussion over the right lung base
posteriorly. An x-ray film of the chest shows an infiltrate in the posterior
basal segment of the right lung. Which of the following is most likely to
prevent recurrence of this patient's lung condition?
O A) Removal of false teeth
O B) Suppression of gastric acid production
O C) Chronic antibiotic prophylaxis
O D) Administration of metoclopramide to increase gastrointestinal motility
O E) Insertion of a feeding jejunostomy tube |
j**********0
发帖数: 391 | 9 not sure about my answer is right.
1 Pt with mild fever (not high fever), without productive discharge, X-ray
didn't show infiltration, so I rule out those pneumonia.
hyperinflation under X-ray, Pt seems have stridor, so I choose D.
2 Pt have OA, should perform knee replacement. |
D*********t
发帖数: 140 | 10 D Calcitonin, MEN II
firm,
of
【在 j*****o 的大作中提到】
: 41. During a routine examination, a 20-year-old man is found to have a firm,
: bilaterally enlarged thyroid gland and lymphadenopathy. His father died of
: thyroid cancer at the age of 40 years. Which of the following hormones is
: most likely associated with this patient's findings?
: A) ACTH
: B) ADH (vasopressin)
: C) Aldosterone
: D) Calcitonin
: E) Growth hormone
: F) G3-hCG
|
|
|
D*********t
发帖数: 140 | 11 I would go E to prevent aspiration pneumonia
°C
94/
the
base
posterior
【在 j*****o 的大作中提到】
: Twelve days after sustaining a cerebral infarction, a 72-year-old man has
: fever and cough. Initial symptoms included inability to move his right arm
: and leg, swallow, speak, or respond to questions. He has been receiving a
: diet of pureed foods since he recovered his ability to swallow 3 days ago.
: He is wearing false teeth. His temperature now is 38.8°C
: (101.8°F), blood pressure is 135/85 mm Hg, pulse is 94/
: min, and respirations are 28/min. Examination shows moderate weakness of the
: facial muscles and right extremities. Gag reflex is absent. Breath sounds
: are decreased, and there is dullness to percussion over the right lung base
: posteriorly. An x-ray film of the chest shows an infiltrate in the posterior
|
D*********t
发帖数: 140 | 12 D, for pt w liver disease, give pneumovax earlier.
for
most
【在 j*****o 的大作中提到】
: A 55-year-old man with alcoholic cirrhosis is hospitalized for 2 weeks in
: April for treatment of gastrointestinal bleeding. His last immunization for
: diphtheria-tetanus (Td) was 6 years ago. Which of the following is the most
: appropriate management prior to discharge?
: A ) Administration of immune globulin
: B ) Inactivated poliovirus vaccine
: C ) Influenza virus vaccine
: D ) Pneumococcal vaccine
: E ) Td toxoids
|
j*****o
发帖数: 137 | 13 why nor influenza virus vaccine? |
D****6
发帖数: 68 | 14 April is not the season for flu.
3 m baby is easy to get virus infection ,like Respiratory syncytial virus
with symptom of kind like asthma. |
j*****o
发帖数: 137 | 15 A 43-year-old man comes to the physician for evaluation and management of
cardiac risk factors 8 weeks after sustaining a myocardial infarction. He
takes aspirin and metoprolol daily, and he does not smoke cigarettes. His
father and brother both had myocardial infarctions before the age of 50
years; their serum cholesterol levels are unknown. There is no family
history of diabetes mellitus. He weighs 86 kg (190 lb) and is 180 cm (71 in)
tall. His blood pressure is 130/70 mm Hg, pulse is 68/min, and respirations
are 14/min. Two years ago, his serum cholesterol level was 245 mg/dL.
Fasting serum glucose level is 88 mg/dL. Which of the following is the most
appropriate next step to evaluate his cardiac risk factors?
A ) Random measurements of serum cholesterol level
B ) Measurement of fasting serum cholesterol level only
C ) Fasting serum lipid studies only
D ) Oral glucose tolerance test and fasting serum lipid studies
E ) Oral glucose tolerance test and measurement of fasting serum cholesterol
level |
