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* Help on these hard questions |
| #858780 |
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Please say what you think. Tnx so much
1) A 23 YO male w/ diabetes presents to the office for a health maintenance exam. BP 120/70 that is well controlled on an Ace inhibitor. Blood glucose ranges from 60-126 while on oral hypoglycemics. Which should be done annually to test the effectiveness of his ACE inhib therapy?
A) 24 hour urine Cr clearance
B) Urinalysis for microalbuminuria
2) A 67 Yo female presents to the ED with a 3-day hx of progressive abdominal pain. She also reports nausea and has vomited 2x. Patient has a low-grade fever. PE shows LLQ tenderness with a palpable mass. Lab studies show moderate leukocytosis. Her stool is negative for occult blood. The most appropriate INITIAL management for this patient is:
A) Chemotherapy
B) IV ABX
C) Retention enemas
D) Steroids
E) Surgical resection
DX?
3) Pt with known COPD hx presents to ED w/ inc dyspnea on exertion
Next best step?
A) CXR
B) EKG
**I am not sure because he has KNOWN hx of COPD so I thought CXR is useless then?
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