- A 21 Year Old Woman Is Staying The Night At Her Boyfriend S Apartment They Have Had A Relaxing Evening And Are Getting 1 (102.35 KiB) Viewed 31 times
- A 21 Year Old Woman Is Staying The Night At Her Boyfriend S Apartment They Have Had A Relaxing Evening And Are Getting 2 (68.1 KiB) Viewed 31 times
- A 21 Year Old Woman Is Staying The Night At Her Boyfriend S Apartment They Have Had A Relaxing Evening And Are Getting 3 (98.29 KiB) Viewed 31 times
- A 21 Year Old Woman Is Staying The Night At Her Boyfriend S Apartment They Have Had A Relaxing Evening And Are Getting 4 (69.32 KiB) Viewed 31 times
A 21-year-old woman is staying the night at her boyfriend's apartment. They have had a relaxing evening and are getting ready for bed. The woman goes to the restroom and empties her bladder. She feels some mild burning upon urination but decides that it is probably from wearing her swimming suit all day the previous day. Throughout the night, she develops feelings of frequency and urgency. The next day, she visits the health clinic at the university and waits to be seen. She voids into a sterile cup, and a dipstick urinalysis is performed. Based on her initial symptoms, she is diagnosed with cystitis. The remainder of the urine is sent for microscopic examination and culture. The woman is prescribed a single dose of a broad-spectrum antibiotic and is encouraged to drink plenty of fluids. Analgesics may help alleviate any discomfort she may have. Instructed to call the clinic in 3 days for the culture report, she is scheduled for a follow-up visit and a repeat urinalysis in 1 week. Acute cystitis is an inflammation of the bladder and is the most common site of UTIS. A UTI is an inflammation of the urinary epithelium most usually caused by: 1. Fungus from the perineal area 2. Bacteria from gut flora 3. Herpes simplex 2 4. A worm or parasite 2. Approximately 1 month later, the young woman notices that her ankles and feet are swollen. She assumes she has not been drinking enough water. Within a week, she has difficulty buttoning her jeans and has gained a pounds. She immediately begins to restrict her caloric intake drastically and is dismayed when the number on the scale continues to rise. A few days later, her urine is pink tinged. Her boyfriend drives her to the emergency department. She reports her history and symptoms she has noted over the past 6 weeks. She is seen by a nephrologist and begins to undergo multiple tests to reach the diagnosis of acute postinfectious glomerulonephritis. Different patterns of urinary sediment may be associated with varying types of glomerulonephritis. The loss of the negative electrical charge across the glomerular filtration membrane and an increase in filtration pore size enhances the movement of proteins into the urine. The type of sediment characterized by the presence of blood and varying degrees of protein in the urine is: 1, Nephritic 2. Urodynamic 3. Polymorphic 4. Crescentic
A 31-year-old woman visits a gastroenterologist's office with complaints of diarrhea. She reports that she has at least four loose stools per day. An extensive history is obtained, and the woman is able to provide a stool sample that day. The stool is bloody with mucous. Although the sample will be sent to a laboratory for analysis, the gastroenterologist suggests an endoscopy and histologic studies of biopsied tissue. She discusses the possible diagnoses, among them Crohn disease and ulcerative colitis. The type of diarrhea caused by an inflammatory disorder of the intestine is: 1. Secretory 2. Small-volume 3. Motility 4. Large-volume Patients who suffer from ulcerative colitis and Crohn disease have abdominal pain, which is the result of distention and inflammation. This type of pain is known as: 1. Visceral 2. Referred 3. Parietal 4. Somatic
Case study#13-Explain you answer A mother drops off her 15-year-old boy at soccer practice. He plays for a traveling team, and she is headed to the grocery store to do some shopping while he is occupied. While at the store, she receives a telephone call from the coach, telling her that her son was kicked just below the knee, causing him to fall to the ground. He was wearing his shin guards but complains that it hurts too much to walk. His mother turns around and heads back to the soccer field. When she arrives, her son is sitting on the bench with ice on his leg. The coach and a teammate help her get him into the car, and she drives him to the emergency department. An X-ray image shows a fracture near the knee with subluxation Additionally, the boy has suffered a complete separation of a ligament from its bony attachment. This injury is known as: 1. Lateral epicondylopathy 2. Crepitus 3. Avulsion 4. Malunion Attempts at closed reduction are unsuccessful; consequently, the young man is taken into surgery. At the completion of the procedure, the orthopedic surgeon talks with the family. The repair was more extensive than they had initially expected. Near the site of the break, a tumor was found. Based on the young man's age, it is most likely that the tumor is: 5. Collagen-forming 6. Myeloma-forming 7. Bone-forming 8. Cartilage-forming
Case study#14-Explain you answer A 74-year-old woman is transported to a regional burn center after being rescued from a house fire. Apparently, a space heater was knocked over and an area rug caught fire. The fire quickly spread throughout the house. She did not have any functional smoke detectors and became trapped in a back bedroom. Using the rule of nines, the burn team estimates that approximately 30% of her TBSA is burned. Most of the burns are thought to involve the entire dermis, and the area looks waxy and white This type of wound is considered to be: 1. Deep partial-thickness 2. Third-degree 3. Superficial partial-thickness 4. Full-thickness Burns exceeding 20% of the TBSA in most adults are considered to be major burn injuries. With a major burn injury, a systematic pathophysiologic response that ensues requires therapeutic intervention to sustain life. The most reliable criterion for adequate resuscitation of burn shock is 1. Urine output 2. Blood pressure 3. Pulmonary status 4. Cortisol levels