A patient tells you that he is allergic to poison ivy and that while burning it yesterday he accidentally inhaled some of the smoke. He awoke today to find a red rash on the back of his left hand and is concerned. Assessment reveals him to be alert and oriented, with easy respirations and a blood pressure of 128/70 mm/Hg. Which of the following actions should you take next?
a. Tell him you are calling an ALS ambulance for him.
b. Assist him with his epinephrine auto-injector.
c. Obtain a medical history using the SAMPLE acronym.
d. tell him the rash probably has nothing to do with inhaling the smoke.
Answer: c
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A patient has sustained an injury to his mediastinum. Based on the anatomy of his chest, which of the following structures may have been injured?
a. The diaphragm b. The esophagus c. The lungs d. A bronchus
Preoperative Diagnosis: Right initial inguinal hernia and umbilical hernia Postoperative Diagnosis: Same Procedure: This 78-year-old patient was taken to Surgery, where he was prepped and draped in the normal sterile fashion. Incision was made from 2 cm above the pubic tubercle toward the anterior iliac spine and deepened to the external oblique. The external oblique was opened. The patient’s
cord was elevated on a Penrose drain. He had a very large direct inguinal hernia, no indirect hernia. All of the areas were freed up, and a piece of mesh was designed in a keyhole fashion and sutured in place with 2-0 Prolene, avoiding the nerve. Irrigation was performed. The external oblique was closed with 2-0 running chromic. Irrigation was performed again. Scarpa’s fascia was reapproximated using 3-0 chromic, and the skin was closed with staples. The umbilical hernia was then dissected out after an incision was made beneath the umbilicus. The hernia sac was removed. The fascia was closed with figure-of-eight sutures of 0 Prolene. 2-0 chromic was used to tack down the skin and also reapproximate the subcutaneous area. A running subcuticular of 4-0 Vicryl was placed and Benzoin and Steri-Strips were applied. A dry sterile dressing was applied to each. Betadine was applied to the hernia. The patient was returned to the recovery room in stable condition. a. 49505–RT, 49585 b. 49520–RT, 49585 c. 49505–RT, 49585, 49568 d. 49507–RT, 49585, 49568
____ visibility markings are a form of crosshatch reflective markings that are popular in Europe.
A. Battenberg B. Croatia C. Kosovo D. Estonia
The tubing that brings the lyse reagent to the hemoglobin cuvette on an automated cell counter is pinched and not delivering any reagent. All hemoglobin values are greater than 20 g/dL. This represents what type of error?
a. Random b. Imprecision c. Constant systematic d. Proportional systematic