12-16-2004, 04:18 AM
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3. 18 yrs woman for routine exam. Regular menses at 28 interval. LMP 2 wk ago. Sexually active w/ one partner using condom inconsistently. Maternal grandmother: breast cancer at 65 yrs. Paternal grandfather: colon cancer at 72 yrs. Maternal grandfather: died of myocardial infarction at 66 yrs. PE: no abnormality. Screen test?
A. Complete blood count
B. Fasting serum lipid studies
C. Test of stool of occult blood
D. Testing for Neissena gonorrhoeae and Chlamydia trachomatis
E. Urinalysis
4. 24 yrs man in ER, 1 hr after stumbling in the yard. BP 100/70, pulse 90, resp 16. pupils equal and reactive to light. Sclerae are injected. Laughs with no obvious reason, makes religious statements, asks if there?s anything to eat/drink. Mental exam: broad range of affect. No evidence of thought disorder except mild paranoia. Next step?
A. Observation in ER
B. IM naloxone
C. IV 50% dextrose
D. IV lorazepam
E. Oral chlorpromazine
3. 18 yrs woman for routine exam. Regular menses at 28 interval. LMP 2 wk ago. Sexually active w/ one partner using condom inconsistently. Maternal grandmother: breast cancer at 65 yrs. Paternal grandfather: colon cancer at 72 yrs. Maternal grandfather: died of myocardial infarction at 66 yrs. PE: no abnormality. Screen test?
A. Complete blood count
B. Fasting serum lipid studies
C. Test of stool of occult blood
D. Testing for Neissena gonorrhoeae and Chlamydia trachomatis
E. Urinalysis
4. 24 yrs man in ER, 1 hr after stumbling in the yard. BP 100/70, pulse 90, resp 16. pupils equal and reactive to light. Sclerae are injected. Laughs with no obvious reason, makes religious statements, asks if there?s anything to eat/drink. Mental exam: broad range of affect. No evidence of thought disorder except mild paranoia. Next step?
A. Observation in ER
B. IM naloxone
C. IV 50% dextrose
D. IV lorazepam
E. Oral chlorpromazine