Question 11,12,13 -

[ArchivalUser]

wt

1. 2 yrs boy, 20 min after an episode cyanosis and loss of consciousness lasting 3 min, occurred after being scolded. He began to cry, let out a deep sigh, stopped breathing, and jerked arms and legs back and forth before the episode. Alert and active on arrival to the hospital. Next step?
a. Reassurance
b. Electroencephalography
c. CT scan of head
d. Anticonvulsant
e. Lumbar puncture

2. 52 yrs woman in ER, 6 days after knee arthroplasty, constant, right-sided chest pain and shortness of breath for 24 hrs. BP110/50, resp 24. Arterial blood gas on room air: pH 7.49, PCO2 29, PO2 66. ventilation-perfusion lung scan: low probability for pulmonary embolus. ECG: sinus tachycardia. Chest Xray (-). Feel pain-free and wishes going home after exam. Next step?
a. Discharge home and reexamination in 2 wks.
b. Exercise stress test
c. Pulmonary function tests
d. Echocardiography
e. Pulmonary angiography
f. Ibuprofen therapy

3. 19 yrs woman, gravida 2, para 1, 39 wks gestation, admitted in labor. Contraction every 2 to 3 min. cervix 4 cm, 80% effaced. 10 min after epidura, became nauseated and diaphoretic and vomits. BP 60/palpable. Fetal heart tracing: sustained fetal decelerations. Cervix now 8 cm. Next step?
a. Ephedrine
b. Magnesium sulfate
c. Nifedipine
d. Oxytocin
e. Terbutaline

[ArchivalUser]

mnhakeem

1-A
2-E
3-A

[ArchivalUser]

warit

11 how did you rule out oraganic condition cause normal breath holdind spell no loss conscious

[ArchivalUser]

abc

11)reassurance
12)pulmonary angiography
13)ephedrine to reverse hypotension

[ArchivalUser]

carlos canova - teresacanova

Q11(a)
Q12(e)
Q13(a)

[ArchivalUser]

Me

Breath holding spells do have loss of consciousness..In fact thats how most of the spells end!