Knowlege check

1. CC: “I possess been having awful chest and arm aversion for the gone-by 2 hours and I contemppast I am having a center assault.”HPI: Mr. Hammond is a 57-year-old African American hardy who presents to the Emergency Department following a while a primary expostulation of chest aversion that radiates down his left arm. He states that he established having aversion diverse hours ago and says the aversion “it feels love an elephant is sitting on my chest”. He rates the aversion as 8/10. Nothing has made the aversion improve or worse. He denies any former accident of chest aversion. Denies loathing, dyspnea, or lightheadedness. He was fond 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the aversion.Lipid panel reveals Aggregate Cholesterol 324 mg/dl, tall blindness lipoprotein (HDL) 31 mg/dl, Low Blindness Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis idiosyncrasy is an quick minor rampart myocardial infarction.1 of 2 Questions:Why is HDL considered the “good” cholesterol?

QUESTION 21. CC: “I possess been having awful chest and arm aversion for the gone-by 2 hours and I contemppast I am having a center assault.”HPI: Mr. Hammond is a 57-year-old African American hardy who presents to the Emergency Department following a while a primary expostulation of chest aversion that radiates down his left arm. He states that he established having aversion diverse hours ago and says the aversion “it feels love an elephant is sitting on my chest”. He rates the aversion as 8/10. Nothing has made the aversion improve or worse. He denies any former accident of chest aversion. Denies loathing, dyspnea, or lightheadedness. He was fond 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the aversion.Lipid panel reveals Aggregate Cholesterol 324 mg/dl, tall blindness lipoprotein (HDL) 31 mg/dl, Low Blindness Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis idiosyncrasy is an quick minor rampart myocardial infarction.2 of 2 Questions:Explain the role inflammation has in the product of atherosclerosis.

QUESTION 31. A 45-year-old dowager following a while a truth of systemic lupus erythematosus (SLE) presents to the Emergency Opportunity (ER) following a while expostulations of cutting retrosternal chest aversion that worsens following a while subterranean vivacious or mendacious down. She reports a 3-day truth of low-grade broil, listlessness and says she feels love she had the flu. Substantial exam reveals tachycardia and a pleural contact rub. She was diagnosed following a while quick pericarditis.
Question:
What does the Advanced Practice Registered Nourish (APRN) identify as the product of the pleural contact rub?

1 points   QUESTION 41. A 15-year-old pubescent hardy concludes to the clinic following a while his parents following a while a primary expostulation of broil, loathing, vomiting, out-of-sorts localized abdominal aversion, arthralgias, and “pompous lymph nodes”. States he has felt “lousy” for a alien weeks. The broils possess been as tall as 102 F. His parents conceit he had the flu and took him to an Urgent Care Center. He was fond Tamiflu® and sent settlement. He says the Tamiflu didn’t look to composition. States had a neglect piercing throat a alien weeks ago and attributed it to the flu. Substantial exam orthodox meager infantine man who appears to be troubled but not quickly ill. Subsequent pharynx reddened and tonsils 3+ following a whileout exudate. + former and subsequent cervical lymphadenopathy. Tachycardic and a new onslaught 2/6 tall-pitched, crescendo-decrescendo systolic dispossession rumbling auscultated at the left sternal verge. Rapid strep +. The enduring was diagnosed following a while quick rheumatic center illness (RHD).
Question:
Explain how a definitive strep standard has agentd the enduring’s symptoms.

QUESTION 51. The APRN sees a 74-year-old brawny fehardy enduring who is 2 days shaft-op following undergoing left aggregate hip vindication. The enduring has had caustic shaft op loathing and vomiting and has been disqualified to go to substantial therapy. Her mucus membranes are dry. The enduring says she feels love the husk on her left leg is too fast. Exam reveals a pompous, firm, and red colored calf. The enduring has a duplex ultrasound which reveals the influence of a subterranean venous thrombosis (DVT).Question:Describe the factors that could possess contributed to the product of a DVT in this enduring illustrate how each of the factors could agent DVT.

QUESTION 61. A 45-year-old dowager is 10 days foundation shaft unfair trivial bowel resection for Crohn Illness and has been recuperating at settlement. She suddenly develops caustic insufficiency of expiration, becomes diluted, and her class constraining drops to 80/40 mmHg (former readings ~130/80s mmHg). The pulse oximetry is 89% on opportunity air. The APRN suspects the enduring familiar a huge pulmonary embolus.
Question:
Explain why a capacious pulmonary embolus interferes following a while oxygenation.
  QUESTION 71. A 45-year-old dowager is 10 days foundation shaft unfair trivial bowel resection for Crohn Illness and has been recuperating at settlement. She suddenly develops caustic insufficiency of expiration, becomes diluted, and her class constraining drops to 80/40 mmHg (former readings ~130/80s mmHg). The pulse oximetry is 89% on opportunity air. While stoppage for the Emergency Medical Service (EMS) to land, the APRN places EKG leads and the EKG demonstrates exact ventricular stretch.
Question:
Explain why a capacious pulmonary embolism agents exact ventricular stretch.
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QUESTION 81. A 12-year-old lass is brought to the Emergency Opportunity (ER) by her woman following a while expostulations of insufficiency of expiration, wheezing, tachypnea, tachycardia, and a non-productive cough. The woman states they had honest conclude from a lapse feast where the total origin enjoyed a hayride. The symptoms began shortly following they left the feast but got improve a alien hours following they returned settlement. The symptoms began anew environing 6 hours pastr and look to be worse. The woman states there is no truth of allergies or general respiratory infectious. The branch is up to determination on all vaccinations. The branch was diagnosed following a while asthma. The nourish practitioner illustrateed to the woman that her branch was exhibiting symptoms of asthma, and probably had an existing asthmatic tally and a past asthmatic tally.
Question 1 of 2:
Explain existing asthmatic tallys and the cells legitimate for the tallys.

QUESTION 91. A 12-year-old lass is brought to the Emergency Opportunity (ER) by her woman following a while expostulations of insufficiency of expiration, wheezing, tachypnea, tachycardia, and a non-productive cough. The woman states they had honest conclude from a lapse feast where the total origin enjoyed a hayride. The symptoms began shortly following they left the feast but got improve a alien hours following they returned settlement. The symptoms began anew environing 6 hours pastr and look to be worse. The woman states there is no truth of allergies or general respiratory infectious. The branch is up to determination on all vaccinations. The branch was diagnosed following a while asthma. The nourish practitioner illustrateed to the woman that her branch was exhibiting symptoms of asthma, and probably had an existing asthmatic tally and a past asthmatic tally.Question 2 of 2:Explain past asthmatic tallys and the cells legitimate for the tallys.

QUESTION 101. A 64-year-old man following a while a 40 pack/year truth of cigarette smoking has been diagnosed following a while emphysema.  He asks the APRN if this resources he has COPD.Question 1 of 2:Explain the pathophysiology of emphysema and how it relates to COPD.

QUESTION 111. A 64-year-old man following a while a 40 pack/year truth of cigarette smoking has been diagnosed following a while emphysema.  He asks the APRN if this resources he has COPD.Question 2 of 2:Explain the pathophysiology of constant bronchitis and how it relates to COPD.

QUESTION 121. Mr. Jones is a 78-year-old lord who presents to the clinic following a while a primary expostulation of broil, chills and cough. He as-well reports some dyspnea. He has a truth of exact faced CVA, COPD, dyslipidemia, and HTN. Current medications include atorvastatin 40 mg po qhs, lisinopril, and fluticasone/salmeterol. He reports more use of his albuterol preserve inhaler.
Vital signs Temp 101.8 F, pulse 108, respirations 21. PaO2 on opportunity air 86% and on O2 4 L nasal canula 94%. CMP WNL, WBC 18.4. Substantial exam reveals meager, disturbed lord following a while meek hemiparesis on left face due to CVA. HEENT WNL exclude for mixed gag reflex and encumbered altitude of the uvula, CV-HR 108 RRR following a whileout rumblings, rubs, or click, no bruits. Resp-coarse rhonchi throughout lung fields. CXR reveals concert in exact inferior lobe. He was diagnosed following a while polity uncongenial pneumonia (CAP).Question:
Patient was hypoxic as evidenced by the low PaO2. Illustrate the pathologic processes that agentd this enduring’s hypoxemia.

1 points   QUESTION 131. A 64-year-old dowager following a while tolerably caustic COPD concludes to the pulmonary clinic for her quarterly checkup. The APRN reviewing the chart notes that the enduring has past 5% of her matter efficacy since her developed scrutinize. The APRN questions the enduring and enduring admits to not having plenteous of an proclivity and she as-well admits to damage some meals beagent it “takes too plenteous composition” to garble and utilize dinner.
Question:
The APRN identifys that COPD has a poisonous chattels on endurings. Illustrate why endurings following a while COPD are at miss for malnutrition.

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