12-16-2004, 04:23 AM
wt
6. 72 yrs man, 2 day of nausea and vomiting. Vomitus is clear w/ no blood. Decreased appetite for the past week. Complains not seeing things correctly. Taking warfarin and digoxin for atrial fibrillation, hydrochlorothiazide for hypertension, potassium supplement discontinued 3 wks ago when ran out. Temp 37, BO 144/88, pulse 52 and irrigular. Other (-). Diagnosis?
a. Acute pancreatitis
b. Brain tumor
c. Diabetic gastroparesis
d. Diabetic ketoacidosis
e. Drug toxicity
f. Food poisoning
g. Gastric bezoar
h. Gastric carcinoma
i. Pyloric channel ulcer
j. Small-bowel obstruction
k. Uremia
7. 2 yr girl w/ fever and bloody diarrhea for 10 days. Stool culture 7 days ago grew Salmonella species sensitive to amoxicillin. Blood culture (-). Oral amoxicillin 4 days ago. Diarrhea persists. Temp 38.6, other (-). Explanation for failure of amoxicillin?
a. Amoxicillin does not alter the course of Salmonella enteritidis
b. Amoxicillin has caused psedomembranous colitis
c. Amoxicillin is absorbed at the level of the jejunum, leaving no drug to be delivered to the colon
d. Oral amoxicillin is not absorbed into the systemic circulation in the presence of diarrhea
e. Salmonella has expressed an inducible beta-lactamase that inactivates amoxicillin
6. 72 yrs man, 2 day of nausea and vomiting. Vomitus is clear w/ no blood. Decreased appetite for the past week. Complains not seeing things correctly. Taking warfarin and digoxin for atrial fibrillation, hydrochlorothiazide for hypertension, potassium supplement discontinued 3 wks ago when ran out. Temp 37, BO 144/88, pulse 52 and irrigular. Other (-). Diagnosis?
a. Acute pancreatitis
b. Brain tumor
c. Diabetic gastroparesis
d. Diabetic ketoacidosis
e. Drug toxicity
f. Food poisoning
g. Gastric bezoar
h. Gastric carcinoma
i. Pyloric channel ulcer
j. Small-bowel obstruction
k. Uremia
7. 2 yr girl w/ fever and bloody diarrhea for 10 days. Stool culture 7 days ago grew Salmonella species sensitive to amoxicillin. Blood culture (-). Oral amoxicillin 4 days ago. Diarrhea persists. Temp 38.6, other (-). Explanation for failure of amoxicillin?
a. Amoxicillin does not alter the course of Salmonella enteritidis
b. Amoxicillin has caused psedomembranous colitis
c. Amoxicillin is absorbed at the level of the jejunum, leaving no drug to be delivered to the colon
d. Oral amoxicillin is not absorbed into the systemic circulation in the presence of diarrhea
e. Salmonella has expressed an inducible beta-lactamase that inactivates amoxicillin