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nbme form3 q4 - certi
#1
A 2-year-old girl is found floating facedown in a swimming pool. On rescue, she immediately coughs and breathes spontaneously. She is conscious and oriented. Without treatment, which of the following is the most likely outcome for this child?
A ) Complete recovery
B ) Development of acute respiratory distress syndrome
C ) Hemolysis
D ) Pulmonary hypertension
E ) Severe neurologic deficit
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#2
E ) Severe neurologic deficit
brain edema (drown)
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#3
why not B- ARDS???
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#4
strange Q. but based on my living experience, A is answer.
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#5
i think ..it,s Acute respiratory distress syndrome ...as it says in kaplan ..chk it out ....
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#6
I tend to agree with library. However, although those survived appeared to fall into A, will they have non life threatening hemolysis. So my answer is A, but can be C because mild C is still A to me.
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#7
If the patient breathe spontaniously, acordding to the ACLS 2002, this is a normal perfusion sign so the brain function will be normal (unless time inder water its prolonged). There no reason for ARDS if the no breathing time and water smallow is short. i think its complete recovery A
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