01-01-2012, 02:00 PM
31. A 2-month-old boy is brought to the physician for a well-child examination. He smiles
spontaneously and vocalizes without crying, but he does not appear to laugh or squeal. He will not
work for a toy that is out of his reach. Which of the following is the most appropriate assessment of
language and psychosocial development?
Language
Psychosocial
development
development
A
)
Normal
normal
B
)
Normal
delayed
C
)
Delayed
normal
D
)
Delayed
delayed
33. A 45-year-old woman comes to the emergency department because of shortness of breath,
chest pain, dizziness, and mild numbness and tingling around the lips for 2 hours. She says that she
feels like she is going to die. She had three similar episodes last week when she was vacationing at
the Grand Canyon; the first episode occurred while crossing a narrow bridge on a donkey. She takes
a hypoglycemic drug for type 2 diabetes mellitus, verapamil for hypertension, and sumatriptan as
needed for migraine. She is mildly diaphoretic and appears pale. Her blood pressure is 130/90 mm
Hg, pulse is 120/min, and respirations are 28/min. Serum glucose level is 120 mg/dL. An ECG
shows sinus tachycardia. Sublingual nitroglycerin therapy does not relieve her symptoms and gives
her a headache. The most appropriate next step in management is administration of wh
ich of the following?
A
) Haloperidol
B
) Lorazepam
C
) Oxygen
D
) Sumatriptan
E
) Verapamil
spontaneously and vocalizes without crying, but he does not appear to laugh or squeal. He will not
work for a toy that is out of his reach. Which of the following is the most appropriate assessment of
language and psychosocial development?
Language
Psychosocial
development
development
A
)
Normal
normal
B
)
Normal
delayed
C
)
Delayed
normal
D
)
Delayed
delayed
33. A 45-year-old woman comes to the emergency department because of shortness of breath,
chest pain, dizziness, and mild numbness and tingling around the lips for 2 hours. She says that she
feels like she is going to die. She had three similar episodes last week when she was vacationing at
the Grand Canyon; the first episode occurred while crossing a narrow bridge on a donkey. She takes
a hypoglycemic drug for type 2 diabetes mellitus, verapamil for hypertension, and sumatriptan as
needed for migraine. She is mildly diaphoretic and appears pale. Her blood pressure is 130/90 mm
Hg, pulse is 120/min, and respirations are 28/min. Serum glucose level is 120 mg/dL. An ECG
shows sinus tachycardia. Sublingual nitroglycerin therapy does not relieve her symptoms and gives
her a headache. The most appropriate next step in management is administration of wh
ich of the following?
A
) Haloperidol
B
) Lorazepam
C
) Oxygen
D
) Sumatriptan
E
) Verapamil