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3:401 SI Search bbhosted.cuny.edu - Private Home C Bio47 Final Lecture Exam_due 12/19 KB) Question 2 and 3: "Have you worked in a medical center that offers primary care for women & children? Answer the question based on how you responded to your patient, Lisa, a 32 ylo woman visiting your office for her initial prenatal checkup and her questions about her 3 ylo daughter, Emma. Lisa has a family history of diabetes and is obese. Lisa developed gestational diabetes mellitus (GDM) during her previous two pregnancies, and because she is concerned about having GDM for the 3rd time, she asks if she should be tested. Please answer the patient's question with the help of the attached GDM file and Week 13 Video on GDM The doctor recommended that pregnant women be screened on their first prenatal visit for STDs. You explained to Lisa that you are going to draw her blood for a RPR test for syphilis. ! Lisa asked "What is RPR? If this test is positive, I'm in big trouble. You won't have to tell my husband, will you?" based on week 13, Ch19). 2 days later, Lisa went to your clinic again for a consultation She knows that it her three-year-old, Emma, comes down with the flu this winter, then it is likely that the entire household will get sick. Last year, Emma got sick and sneezed and wiped her nose on whatever was near her, including her baby brother, and wanted to be held when she felt feverish. What's the reason for the spread of the flu in Lisa's house? Hints GDM should be tested considering me family and medical history of this patient 2. Inform the patient of the name, timing and procedure of the test for the diagnosis of GDM clear
3:40 1 Search AA ebbhosted.cuny.edu C Home G Bio47 Final Lecture Exam_due 12/19 the reason for the spread of the flu in Lisa's house? Hints: 1. GOM should be tested considering the tarily and medical history of this patient 2. Inform the patient of the name, timing and procedure of the test for the diagnosis of GDM clearly After reading the attached part, you should be able to answer the following o a) What is the cause of GOM b) How to identity GDM (2 step screening test and timingi? c) Why do we need to identify and treat GDM even after pregnancy is over? 3. Explain the whole name of APA test fa serology or hematology test?) and why how well the RPR test can detect syphilis depends on the stage of the intection explain the symptoms of each stage primary secondary, atent and tertiary) What is the cause of Syphilis? How to treat? What would be the consequence it syphilis goes untreated? Can you see the microorganisma bacterium, virus, yeast or protozoa??) causing syphilis directly under microscope? Can you perform gram staining on this microorganism What does look like under microscope? 4. Roassure the patient with medical confidentiality agreement 5. Explain flu is caused by a virus (base structure of a virus) and how tuis transmitted directly by traveling of tiny dropios fcan also live for 2 hr or more on hard surfaces like door knobs, desks and tables for indirect transmission What is the role of a vaccine? What is the chemical components of flu vaccine each year? Why doesn't flu vaccine always work? Can a tu shot last year protect me from getting Muthis year? Why or Why not? Iti do not get a flu shot. There are se drugs availabe to treat flu, right? <
3:401 Search SI w bbhosted.cuny.edu - Private Home C Bio47 Final Lecture Exam_due 12/19 Q4 20 pts Question 4: "Give me a situation where you had to follow procedures and protocols (under HIPAA and OSHA) to prepare for your doctor? Answer the questions based on how you responded to your patient, Amanda, a 24 yio college student. She thinks she is pregnant and wants to be tested. You inform her that she will need to provide a first-voided morning specimen. Why is this method used in urine pregnancy testing and what should the medical assistant explain to her about the test? (Based on Week 6, Ch16 Urinalysis) Hints: First voided urtino has the most concentrated HC. Explain the name of hCG, where it is produced and the concentration change of bloodline hoover the course of pregnancy. Give clear instructions to the patient twee hoois negative might be false negative. Why???) Due 12/19 Sunday by 8pm Q5 20 pts Question 5: "How do you make use of your time in the clinic? Are you organized? Can you multi-task? Answer the question by referring to how you get a patient history and vitals done and provide effective patient education for 24 hr urine collection for Susan, a 20 y/o college student, came to the office complaining of the sudden onset of intense left-sided back pain radiating to her groin. She states that the flank pain is associated with rectal pain, nausea and vomiting. She had 2 episodes of hematuria. She has no chronic medical
3:401 SI w Search bbhosted.cuny.edu - Private Home C Bio47 Final Lecture Exam_due 12/19 Q5 20 pts Question 5: "How do you make use of your time in the clinic? Are you organized? Can you multi-task? Answer the question by referring to how you get a patient history and vitals done and provide effective patient education for 24 hr urine collection for Susan, a 20 y/o college student, came to the office complaining of the sudden onset of intense left-sided back pain radiating to her groin. She states that the flank pain is associated with rectal pain, nausea and vomiting. She had 2 episodes of hematuria. She has no chronic medical conditions and has never had any similar episodes in the past. She has recently started taking "megadoses of multivitamin pills to help with final examinations". Her temperature is 37.8 C(100 F), blood pressure is 130/80 mm Hg, pulse is 80/min, and respirations are 26/min. The physician informs her that she needs to collect his urine over a 24-hour period Susan asked you why it is necessary to collect 24-hour urine specimen. (Hint: This patient has a kidney stone, most likely due to excess supplementation with vitamin) Based on Ch5 Physical Exams and Ch16 Urinalysis) Hint: 1.Explain some of the medical terms in the case description in layenan's forme. such as Tank, and Thomahuria 2. Inform the patient of a possibile diagnosis of kidney stones caused by excessive vitamin intakes. Explain the basic structure of human urinary systems and how urine is formed instruct the patient to discontinue taking vitamins 3. Explain why a 24 hr urine collection is required to the diagnosis ascendo a one-time urine collection and instruct the patients how to perform the procedure. As a MA, what makes for a clinical ray?