10-04-2006, 05:23 PM
25. A 67-year-old male is diagnosed with colon
cancer. He is scheduled for a hemicolectomy
but does not keep his preoperative assessment
appointment for the surgery. When confronted
he says cheerfully, œI couldn™t miss such a
terrific day on the golf course, we™ll have to
reschedule. Which of the following best
describes this patient™s reaction to his illness?
(A) Acceptance
(B) Anger
© Anxiety
(D) Denial
(E) Depression
(D) is correct. This patient is denying the seriousness
of his illness, an abnormal adaptive illness response.
Explanation A: No. The patient clearly has not
accepted his illness and need for potentially life-saving
intervention.
Explanation B: No. Anger is an abnormal adaptive
illness response when it begins to interfere with
interpersonal relations and leads to isolation of the
person.
Explanation C: No. Anxiety is an abnormal adaptive
illness response when it exceeds its usual protective
function and compromises the patient™s ability to make
necessary medical decisions.
Explanation E: No. Depression is an abnormal
adaptive illness response typified by sustained sadness.
26. A 54-year-old male presents to his primary
care physician complaining of pain in his left
eye for the last several hours. He did not
sustain any ocular trauma. The left eye is
inflamed. He has marked photophobia in his
left eye. His intraocular pressure is measured
and is markedly elevated in his left eye. Which
of the following lesions most likely accounts
for his symptoms?
(A) Corneal abrasion
(B) Inflammation of the iris
© Inflammation the uvea
(D) Obstruction at the canal of Schlemm
(E) Retinal detachment
(D) is correct. This patient has angle closure glaucoma
with increased intraocular pressure. This is a visionthreatening
emergency. Aqueous humor is produced
by the ciliary body, passes through the posterior
chamber, and then into the anterior chamber where it
then drains into veins via the canal of Schlemm and
the trabecular meshwork. The most common site of
obstruction of the flow of aqueous humor is the canal
of Schlemm.
Explanation A: No. Corneal abrasion may be painful,
but does not cause increased intraocular pressure.
Explanation B: No. Inflammation of the iris is found in
some connective tissue diseases. It does not cause
increased intraocular pressure.
Explanation C: No. Inflammation of the uvea is found
in some connective tissue diseases. It does not cause
increased intraocular pressure.
Explanation E: No. Retinal detachment, usually
secondary to eye trauma, may cause blindness. It does
not cause increased intraocular pressure.
hey everyone,..sorry for posting que and ans altogether...not feeling too hot tonight..so gonna call it early.....posted que's so u guys can review it...with ans...so if i m not here then u guys can read it....thanx and good nite....:o)
cancer. He is scheduled for a hemicolectomy
but does not keep his preoperative assessment
appointment for the surgery. When confronted
he says cheerfully, œI couldn™t miss such a
terrific day on the golf course, we™ll have to
reschedule. Which of the following best
describes this patient™s reaction to his illness?
(A) Acceptance
(B) Anger
© Anxiety
(D) Denial
(E) Depression
(D) is correct. This patient is denying the seriousness
of his illness, an abnormal adaptive illness response.
Explanation A: No. The patient clearly has not
accepted his illness and need for potentially life-saving
intervention.
Explanation B: No. Anger is an abnormal adaptive
illness response when it begins to interfere with
interpersonal relations and leads to isolation of the
person.
Explanation C: No. Anxiety is an abnormal adaptive
illness response when it exceeds its usual protective
function and compromises the patient™s ability to make
necessary medical decisions.
Explanation E: No. Depression is an abnormal
adaptive illness response typified by sustained sadness.
26. A 54-year-old male presents to his primary
care physician complaining of pain in his left
eye for the last several hours. He did not
sustain any ocular trauma. The left eye is
inflamed. He has marked photophobia in his
left eye. His intraocular pressure is measured
and is markedly elevated in his left eye. Which
of the following lesions most likely accounts
for his symptoms?
(A) Corneal abrasion
(B) Inflammation of the iris
© Inflammation the uvea
(D) Obstruction at the canal of Schlemm
(E) Retinal detachment
(D) is correct. This patient has angle closure glaucoma
with increased intraocular pressure. This is a visionthreatening
emergency. Aqueous humor is produced
by the ciliary body, passes through the posterior
chamber, and then into the anterior chamber where it
then drains into veins via the canal of Schlemm and
the trabecular meshwork. The most common site of
obstruction of the flow of aqueous humor is the canal
of Schlemm.
Explanation A: No. Corneal abrasion may be painful,
but does not cause increased intraocular pressure.
Explanation B: No. Inflammation of the iris is found in
some connective tissue diseases. It does not cause
increased intraocular pressure.
Explanation C: No. Inflammation of the uvea is found
in some connective tissue diseases. It does not cause
increased intraocular pressure.
Explanation E: No. Retinal detachment, usually
secondary to eye trauma, may cause blindness. It does
not cause increased intraocular pressure.
hey everyone,..sorry for posting que and ans altogether...not feeling too hot tonight..so gonna call it early.....posted que's so u guys can review it...with ans...so if i m not here then u guys can read it....thanx and good nite....:o)