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Mullin's Exam 2 Jeopardy Questions With Complete Solutions
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Mullin's Exam 2 Jeopardy Questions With Complete Solutions
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Mullin's Exam 2 Jeopardy Questions With CompleteSolutions
A 34 year old female presents complaining of frequent nose
bleeds. You order a CBC, coagulation studies, and a bleeding
time test. Which laboratory findings would be most indicative of
diagnosing the patient with Immune Thrombocytopenic Purpura
(ITP)? Correct Answer Thrombocytopenia, normal PT, normal
PTT, increased bleeding time
A 37 year old female with a history of von Wilebrand's disease
presents to the ED complaining of chest pain, and intermittent
dyspnea. Before labs are ordered, you obtain an EKG. Upon
reviewing the EKG you note that there is an S wave in lead 1,
and a Q wave and inverted T wave in lead 3. What does this
finding indicate? Correct Answer Right heart strain
A 38 year old male, who works as a plumber presents to the ED
with multiple complaints; he reports he has had intermittent
abdominal pain, nausea, general malaise, and intermittent
headaches for several weeks. He reports that his abdominal pain
was so severe this morning, he was unable to go to work this
morning. His vitals are stable. A CBC, CMP, lipase, and
urinalysis are ordered. His labs reveal a low H and H, low MCV,
and low MCHC. You decide to order a peripheral blood smear,
what do you most likely suspect to see on the smear? Correct
Answer Basophilic stippling (lead poisoning is diagnosis)
A 41 year old female develops sudden onset of fever, RUQ pain,
and jaundice. Labs are significant for an increased ALP and an
, increased GGT. Based on the info provided, what is the most
likely diagnosis? Correct Answer Acute cholangitis
A 45 year old male presents to the ED complaining of a
"thunderclap" headache. He denies any trauma to his head. He is
currently rating 10/10, and states this is the worse headache of
his life. What specific term would most likely be used to
describe the appearance of this patient's CSF? Correct Answer
Xanthochromia
A 53 year old male presents to the ED complaining of ascites
and dyspnea. You perform a paracentesis. Total protein is <3
g/dL, and LDH fluid/serum ratio is <0.6. Give 2 possible
etiologies of this patient's ascites? Correct Answer CHF,
cirrhosis, nephrosis (ascites is transudative)
A 6 year old male is brought to the ED after developing
headache, vomiting, abdominal pain, fever, chills, and bloody
diarrhea. Labs are obtained, and reviewed, and he is diagnoses
with Hemolytic Uremic Syndrome (HUS). What is the classic
triad for this condition? Correct Answer Hemolytic anemia,
thrombocytopenia, renal insufficiency
A 62 year old male presents to your clinic complaining of
"yellowing" of his skin and eyes. He reports that he noticed it
approximately 3 weeks ago. Labs are ordered and he is found to
have elevated AST, ALT, ALP, and elevated conjugated
bilirubin. Name 2 possible etiologies that would cause these lab
findings? Correct Answer Gallstones, extrahepatic cholestasis,
pancreatic carcinoma, and tumors within a bile duct (cause is
post-hepatic/obstructive cause)
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