a****9
发帖数: 773 | 1 A 30-year-old man has had increasingly severe low back pain since lifting a
heavy object at work 3 days ago. The pain does not radiate and is not
associated with bowel or bladder problems. He has a history of occasional
stiffness and mild pain in his lower
back. There is bilateral paravertebral muscle tenderness in the lumbar
region and limited flexion of the lumbosacral spine. Examination of the
lower extremities shows normal muscle strength and sensation; straight-leg
rising is negative bilate |
a****9
发帖数: 773 | 2 A 42-year-old woman, gravida 2, para 2, has had increasing fatigue, dyspnea,
orthopnea, and paroxysmal nocturnal dyspnea over the past 2 days. She has
had several episodes of hemoptysis; she had one episode of pulmonary edema
during pregnancy 2 years ago. A loud S1, a snapping sound in diastole, and a
rumbling diastolic murmur are heard at the apex. Which of the following is
the most likely cause of her condition?
A) Atrial myxoma
B) Bicuspid aortic valve
C) Postpartum cardiomyopathy
D) Rheumati |
a****9
发帖数: 773 | 3 14. A 27-year-old primigravid woman at 12 weeks' gestation comes to the
emergency department 2 hours after the sudden onset of bright red vaginal
bleeding. She has not had abdominal cramping. Pelvic examination shows a
small amount of brownish blood in the posterior fornix of the vagina. The
cervix is closed. The uterus is palpable 3 cm above the pelvic brim. Fetal
heart tones are easily audible at 167/min by Doppler. Which of the following
is the most likely diagnosis?
A) Abruptio placentae
B) |
a****9
发帖数: 773 | 4 A 5-month-old boy is brought to the physician because of a 24-hour history
of fever, cough, noisy breathing, and difficulty feeding. His symptoms began
3 days ago with nasal discharge, mild cough, and chest congestion. He
appears somewhat irritable and is crying. His temperature is 38.5 C (101.3 F
), pulse is 108/min, and respirations are 32/min and shallow with a
prolonged expiratory phase. On examination, the throat appears normal. A few
small anterior and posterior cervical nodes are palpable |
d****2
发帖数: 118 | 5 mcc for infants' bronchiolitis and pneumonia is RSV.
began
F
few
are
【在 a****9 的大作中提到】
: A 5-month-old boy is brought to the physician because of a 24-hour history
: of fever, cough, noisy breathing, and difficulty feeding. His symptoms began
: 3 days ago with nasal discharge, mild cough, and chest congestion. He
: appears somewhat irritable and is crying. His temperature is 38.5 C (101.3 F
: ), pulse is 108/min, and respirations are 32/min and shallow with a
: prolonged expiratory phase. On examination, the throat appears normal. A few
: small anterior and posterior cervical nodes are palpable
|
d****2
发帖数: 118 | 6 mcc for bleeding in early pregnancy is threatened abortion regarding her
closed cervix. Usually the previa precenta is not diagnosed at this early
stage.
following
【在 a****9 的大作中提到】
: 14. A 27-year-old primigravid woman at 12 weeks' gestation comes to the
: emergency department 2 hours after the sudden onset of bright red vaginal
: bleeding. She has not had abdominal cramping. Pelvic examination shows a
: small amount of brownish blood in the posterior fornix of the vagina. The
: cervix is closed. The uterus is palpable 3 cm above the pelvic brim. Fetal
: heart tones are easily audible at 167/min by Doppler. Which of the following
: is the most likely diagnosis?
: A) Abruptio placentae
: B)
|
d****2
发帖数: 118 | 7 I also did D for this Q. Some online keys are not right.
dyspnea,
a
is
【在 a****9 的大作中提到】
: A 42-year-old woman, gravida 2, para 2, has had increasing fatigue, dyspnea,
: orthopnea, and paroxysmal nocturnal dyspnea over the past 2 days. She has
: had several episodes of hemoptysis; she had one episode of pulmonary edema
: during pregnancy 2 years ago. A loud S1, a snapping sound in diastole, and a
: rumbling diastolic murmur are heard at the apex. Which of the following is
: the most likely cause of her condition?
: A) Atrial myxoma
: B) Bicuspid aortic valve
: C) Postpartum cardiomyopathy
: D) Rheumati
|
d****2
发帖数: 118 | 8 E
a
ankles
【在 a****9 的大作中提到】
: A 30-year-old man has had increasingly severe low back pain since lifting a
: heavy object at work 3 days ago. The pain does not radiate and is not
: associated with bowel or bladder problems. He has a history of occasional
: stiffness and mild pain in his lower
: back. There is bilateral paravertebral muscle tenderness in the lumbar
: region and limited flexion of the lumbosacral spine. Examination of the
: lower extremities shows normal muscle strength and sensation; straight-leg
: rising is negative bilate
|
a****9
发帖数: 773 | 9 This women did not complain about ab pain. Pelvic examination shows a
small amount of brownish blood --brown color suggest old instead of new
bleeding? plus that fetal heart tones are good.
Are these all normal in threatened abortion? thanks
【在 d****2 的大作中提到】
: mcc for bleeding in early pregnancy is threatened abortion regarding her
: closed cervix. Usually the previa precenta is not diagnosed at this early
: stage.
:
: following
|
a****9
发帖数: 773 | 10 A few small anterior and posterior cervical nodes are palpable.
I thought this is a hint for adenovirus ? Correct me if i am wrong.Thanks!
【在 d****2 的大作中提到】
: mcc for infants' bronchiolitis and pneumonia is RSV.
:
: began
: F
: few
: are
|
d****2
发帖数: 118 | 11 Yes. I was OBGY in China.
【在 a****9 的大作中提到】
: This women did not complain about ab pain. Pelvic examination shows a
: small amount of brownish blood --brown color suggest old instead of new
: bleeding? plus that fetal heart tones are good.
: Are these all normal in threatened abortion? thanks
|
d****2
发帖数: 118 | 12 It is common in virus infection, not specific for adenovirus.
【在 a****9 的大作中提到】
: A few small anterior and posterior cervical nodes are palpable.
: I thought this is a hint for adenovirus ? Correct me if i am wrong.Thanks!
|
a****9
发帖数: 773 | 13 en...nice nice...
Thanks a mile! |
