A 42-year-old male has fatigue, pale skin, and shortness of breath with exercise. Blood test shows a macrocytic, hyperchromic anemia with hyper- segmented neutrophils and normal folate levels. The patient has been taking omeprazole for over 3 years to treat gastric reflux disease. One method to treat this patient is to do which one of the following? A Give injections of vitamin B6 Give injections of intrinsic factor Ø C Give injections of vitamin B12 D Give oral folic acid
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- Situation: Clara De Guzman, a 30 year old, is brought to the emergency room due to diarrhea. She is 3 months pregnant. Her mucous membrane is moist, with good skin turgor, no sunken eyes but with dry lips. With hyperactive bowel sounds. History showed that she underwent bariatric surgery 3 years ago that made her stomach small. With maternal and paternal history of diabetes and stroke. Fecalysis showed no parasite infection. But electrolytes revealed hypocalcemia (low serum calcium in the blood). Her BMI is 15. No medications taken. She is advised to take calcium supplements with Vitamin D and B complex. Vital signs: BP: 120/80 mmHg, PR of 75, RR of 21, afebrile, SPO2 of 98%.A 55-year-old female patient who is positive for MRSA is having laparoscopic cholecystectomy. During the procedure, the surgeon encounters unexpected bleeding from the liver bed and decides to convert to an open cholecystectomy. The surgeon requests half-strength diatrizoate sodium solution. You have 30mL of diatrizoate sodium on the sterile field and a 50mL syringe. How much diatrizoate sodium and how much normal Celine are added to the syringe to prepare the medication as requested by the surgeon?A 55 year old females patient who is positive for MRSA is having laparoscopic cholecystectomy. During the procedure, the surgeon encounters unexpected bleeding from the liver bed and decides to covert to an open cholecystectomy. Which category of medication will be used during the intraoperative cholangiography segment of the procedure? Name 3 medications from this category.
- A dentist must have how many trained individuals to assist during intavenous (moderate) sedation? A. One, whos must have current certificaiton in BLS B. Two, one of them whom must have the current certification in BLS. C. Three, all of them whom must have current certificaition in BLS. D. Two, both of whom must have current certification in BLS.A 55-year-old man comes to the emergency department with epistaxis (uncontrolled nosebleed). He reports that he has “bleeder’s disease” and has had multiple episodes of inflammatory hemarthroses (joint bleeding). Physical examination reveals swollen, immobilized knees; mild jaundice; and an enlarged liver and spleen. CBC results indicate that the patient is anemic and has thrombocytopenia with a platelet count of 74,400/mL (reference interval, 150,000 to 450,000/mL). The PT is 18 seconds (reference interval, 12 to 14 seconds), and the PTT is 43 seconds (reference interval, 25 to 35 seconds).Diagnosis: Liver Disease Provide strong evidence of the diagnosis by creating a table of other possible parameters or test results (coagulation tests) that might be present in this type of condition.A 55-year-old man comes to the emergency department with epistaxis (uncontrolled nosebleed). He reports that he has “bleeder’s disease” and has had multiple episodes of inflammatory hemarthroses (joint bleeding). Physical examination reveals swollen, immobilized knees; mild jaundice; and an enlarged liver and spleen. CBC results indicate that the patient is anemic and has thrombocytopenia with a platelet count of 74,400/mL (reference interval, 150,000 to 450,000/mL). The PT is 18 seconds (reference interval, 12 to 14 seconds), and the PTT is 43 seconds (reference interval, 25 to 35 seconds). What is the most likely diagnosis? Support your answer. How can the PT result support your diagnosis? Can this be considered a vitamin k deficiency? Why or why not? Provide strong evidence of your diagnosis by creating a table of other possible parameters or test results (coagulation tests) that might be present in this type of condition.
- A 60‐year‐old woman is started on imatinib therapy for chronic‐phase chronic myeloid leukaemia. Which ONE of the following adverse effects is most likely? Select one: A.Pancytopenia B.Hepatic test abnormality C.Pancreatitis D.Fluid retentionPt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…
- Pt is a 55 y.o female with past medical history of end-stage renal disease on hemodialysis via perm catheter, hypertension, hyperlipidemia, type 2 diabetes, anemia of chronic disease, peripheral neuropathy, recurrent C.Difficile. History of Acinetobacter bacteremia come into the hospital as direct transfer from Newport given worsening pleural effusion of importance. Pt was recently admitted at Rhode Island Hospital and discharged a few weeks ago after being diagnosed with necrotizing pneumonia. lung disease abscess on CT scan. She underwent BAL and culture grew klebsiella oxytocin which she was treated with Augmentin for 6weeks duration. She had elevated 1,3 Beta D flu an but was deemed to be potentially false positive. She was also found to have Acinetobacter growing from dialysis catheter too and the catheter was removed on 3/8 and a new one was replaced on 3/9. Unfortunately came back from Newport hospital because of progressively worsening shortness of breath as well as well as…A 5-year-old female has a history of previous lower UTIS. She suddenly becomes very ill and develops rust-colored urine, burning, back pain, and fever. The physician orders a BUN, creatinine, urinalysis, and a urine culture and sensitivity. Her results are below: Increased BUN, Increased Creatinine Dipstick: 2+ protein, 1+ blood, 4+ leukocyte esterase, 4+ nitrate. Other dipstick tests are negative or normal. Microscopic examination: WBCs 25-50/HPF RBCs 5-10/HPF. hyaline cast 0-1/LPF many bacteria. a. What is this patient's condition? WBC casts 5-10/LPF Urine culture: 100,000 colonies/ mL of E. coli, sensitivity pending b. What dipstick findings and what microscopic findings support this decision? c. Is the patient's history significant? d. If the child were taking vitamins and extra vitamin C, could this interfere with the test results?An 8-month-old infant presents to the emergency department with a 2-day history of diarrhoea and poor fluid intake. On clinical examination, capillary refill time is 3 seconds and you assess the level of dehydration as 10%. Of the following intravenous fluids, the most appropriate for immediate use is:a. 5% dextrose with 0.45% salineb. Normal salinec. Lactated Ringer'sd. 5% dextrose with 0.9% saline