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A 53-year-old white man is brought to the emergency department by emergency medical services after he crashed his car into a tree. He was not wearing a seatbelt. Upon arrival in the emergency department the patient is clearly drunk but he is cooperative during the examination. Vital signs are: temperature 37.0°C (98.6°F), pulse 110/min, respirations 18/min and blood pressure 110/75 mm Hg. Physical examination shows generalized tenderness over the lower abdomen and pelvis. Neurologic examination is normal. X-ray films of the cervical spine, chest and pelvis are normal, as is CT scan of the head. On reexamination 3 hours later, no urinary output has been recorded. The patient is unable to produce a urine sample. He has received 1400 mL of lactated Ringer solution since the accident. Foley catheter is placed and yields 5 mL of bloody urine. X-ray film obtained after placement of the Foley catheter is shown. Which of the following is the most appropriate next step?
A) Foley catheter drainage for 10 days
B) Observation only
C) Percutaneous nephrostomy
[D) Suprapubic catheter drainage]
E) Surgical repair
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33. A 47-year-old man is brought to the emergency department because of the sudden onset of chest pain. On cardiac examination, which of the following physical findings is suggestive of ischemia?
A) Early diastolic murmur at the base]
B) A late systolic murmur at the apex
C) Mid-systolic click
D) Pericardial knock
E) Pulsus paradoxus
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can you tell which NBME questns are these...As i dnt wanna see NBME 4 questions.
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They are mixed from 1 to 5.
A 16-year-old Latino boy comes to the health center because of ear pain for the past 2 days. He has been working at a local restaurant 30 to 40 hours per week through a school-sponsored vocational education program. His father left his family when the patient was a young child, and his mother died 1 year ago of breast cancer. He was declared an emancipated minor by the court after his mother's death, and he now rents a room in a home in his neighborhood. He has received care at the health center in the past for episodic illnesses and vaccinations before his mother died. Which of the following is the most accurate statement regarding obtaining consent for treatment today?
A) Can be seen because he is likely to have an infectious disease and signed consent is not necessary
B) Can be seen because his deceased mother gave signed consent for services in the past
[C) Can be seen if he signs a consent for services]
D) Cannot be seen because he has a living parent whose signed consent is required
E) Cannot be seen without consent of the court that awarded emancipated minor status
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Last one a.
Do u have answers? Whats 33?
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The answers are [] in the options.
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But no guarantee if they are correct
