Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN: 9781305964792
Author: Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher: Cengage Learning
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A 26-year-old woman presents at 4 weeks post partum with headaches, profound weakness, nausea, and vomiting. She had been breast-feeding. Physical examination fi ndings are unremarkable. Magnetic resonance imaging (MRI) of the head shows a sellar mass with suprasellar extension but without chiasmal compression. Laboratory test results (and reference ranges) include the following: serum sodium 125 mEq/L (136–142 mEq/L), serum prolactin 72 ? g/L (4–30 ? g/L), 8 am serum cortisol 3 ? g/dL (5–25 ? g/dL), serum adrenocorticotropic hormone (ACTH) 10 pg/mL (10–60 pg/mL), and normal values for serum free thyroxine and thyrotropin. Which of the following is the most likely diagnosis? a. Primary adrenal insuffi ciency (Addison disease) b. Prolactin-producing pituitary tumor c. Nonfunctioning pituitary tumor d. Pituitary apoplexy (Sheehan syndrome) e. Lymphocytic hypophysitis
Awakened in the early morning by screams and pounding on your front door, you rush to answer the door. You find Mrs. Winters, your older neighbor from across the street. She knows you are trained in first aid and CPR and asks you to please help her husband. As you hurry across the street, she tells you her husband had been feeling ill for several hours and then vomited. She says that he emerged from the bathroom clutching his chest and in apparent pain. He suddenly collapsed to the floor. As you enter the house, you find Mr. Winters lying motionless on the floor just outside of the bathroom. You want to help. How do you respond?
A previously healthy 12-month-old boy is brought to the emergency department by his parents because of a 1-day history of intermittent abdominal pain, loss of appetite, and vomiting. His parents say that he seems disoriented. He appears pale and ill. His temperature is 36.8°C (98.2°F), pulse is 128/min, respirations are 36/min, and blood pressure is 84/62 mm Hg. Abdominal examination shows mild distention; increased, high-pitched bowel sounds are heard. A mass is palpated in the left upper quadrant. Test of the stool for occult blood is positive. An x-ray of the abdomen is shown. Which of the following is the most likely underlying cause of this patient's current symptoms? A) Fecalith B) Foreign body obstruction C) Functional ileus D) Malrotation of the midgut E) Telescoping of the bowel
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