#Usmle practice test answers pro#

However, she has been lost to follow-up and has not had proper follow up in years. She says that the murmur was found in her childhood, and the doctor at that time placed her under observation only. She is gravida 1, para 0 with an estimated gestational age of 19 weeks. Serum thyroxine, triiodothyronine, and thyroid-stimulating hormoneĪ 22-year-old woman from a rural area who recently discovered she was pregnant is referred for a cardiology consultation due to cyanosis, dyspnea, and a cardiac murmur revealed at the initial prenatal visit. Abdominal ultrasonography reveals the presence of gallstones. Which of the following tests is most likely to be abnormal for this patient?Ĭ. Peripheral smear demonstrates polychromasia, blister cells, and Heinz bodies. Mean corpuscular hemoglobin concentration Laboratory studies show the following: Hemoglobin Physical exam reveals scleral icterus, mild splenomegaly, and pallor. His mother reports that he developed prolonged jaundice during the neonatal period. Which of the following is the next best step for this patient?Ī 15-year-old African American boy presents to the pediatrician with yellow discoloration of his sclerae for the last 3 days.

An urgent head CT does not show any abnormalities. She has nuchal rigidity and a positive Kernig sign. Ophthalmoscopy does not show papillary edema or retinal hemorrhages. The pupils are round, equal, and poorly reactive to light. Her blood pressure is 150/90 mm Hg, heart rate is 62/min, respiratory rate is 13/min, and temperature is 37.3℃ (99.1℉). She opened her eyes spontaneously, was responsive but confused, and was able to follow motor commands. On admission, she complained of intense headaches and nausea. On her way to the hospital, she regained consciousness. The witnesses say that she had convulsions lasting about 30 seconds when she lost consciousness after a traumatic event. When the emergency services arrived, she was unresponsive, did not open her eyes, but responded to painful stimuli. Which of the following medications will improve the prognosis of this patient?Ī 43-year-old woman was admitted to the hospital after a fall. She also mentions that he has been drinking alcohol for the past 30 years. His wife also reports that he has had occasional severe coughing spells with pinkish sputum production. He can only walk for a few minutes before he has to stop and rest. She says that she has noticed that he often has difficulty breathing and requires three pillows to sleep at night to avoid being short of breath. She has brought with her the test reports from previous medical visits over the last few months. His wife is unable to recall the name of the condition, but she does know that the doctor recommended some medications at that time in case his condition worsened. He has been admitted in the past for a heart condition. His vital signs are blood pressure 85/50 mm Hg, pulse 50/min, and respiratory rate 10/min. The findings are most consistent with which diagnosis?Ī 65-year-old man is brought to the emergency department after losing consciousness. Further evaluation revealed parasitemia and a few schistocytes, poikilocytes, and merozoites in tetrad formation. The peripheral blood smear showed basophilic ring- and pear-shaped structures inside many red cells and extracellular basophilic rings on Wright-Giemsa staining. Laboratory testing revealed the following: Hemoglobin His symptoms started a few days after he returned home. He traveled to the Netherlands for 4 days a month ago. He has drenching night sweats and has had 2 episodes of non-bilious vomiting over the past few days. He adds that he is fatigued all the time and has a generalized weakness.

#Usmle practice test answers pro#

Students: Educators’ Pro Tips for Tough TopicsĪ 50-year-old man presents to the office with complaints of fever and chills for 4 weeks.

Fundamentals of Nursing: Clinical Skills.