Tina is a 47-year-old patient who has recently begun experiencing dizziness and shortness of breath. She gets frequent headaches. After the initial exam, the physician orders several blood tests. The results of the tests indicate that Tina has polycythemia vera. Which of the following treatment courses would you expect the physician to pursue with Tina?
A. Blood transfusions
B. Bone marrow transplants
C. Radiation therapy
D. Stem cell transplant
E. Therapeutic phlebotomy
E. Therapeutic phlebotomy
In polycythemia vera, the patient has an abnormally high number of blood cells, causing the blood to thicken. Up to a pint of blood may be removed each week until the blood count becomes normal.
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Your patient is a 44-year-old woman, alert and oriented, in moderate distress and complaining of difficulty breathing. She gives a one-week history of fever and malaise, with shortness of breath developing three days ago. She also has left-sided chest pain with deep inspiration and a "phlegmy" cough. Physical examination reveals hot, pale, dry skin, and rhonchi and crackles throughout the left
lung. The right lung sounds are clear. HR = 134, BP = 88/64, RR = 24, SaO2 = 92%. She has a history of two previous myocardial infarctions and takes nitroglycerin as needed. Which of the following is the best course of prehospital management? A) Endotracheal intubation, ventilation with supplemental oxygen, IV of NS KVO, nebulized albuterol and Atrovent, and corticosteroids IV B) Albuterol via nebulizer with 100 percent oxygen and IV of NS KVO C) Oxygen via nonrebreather mask and IV of NS with fluid challenge D) Oxygen by nonrebreather mask; IV of NS KVO; and furosemide, 40 mg IV
Physicians must file a Medicare appeal with an administrative law judge within:
A) 30 days. B) 60 days. C) 90 days. D) 120 days.
If water is found in a basin when the sterile wrapper is opened, the basin is considered _________________
A. sterile B. contaminated
A patient may become belligerent, refusing to follow the doctor's treatment plan
Indicate whether the statement is true or false