Which of the following materials is used to inhibit epithelial migration into the surgical site?

A) Bone grafts
B) Bone substitutes
C) Barrier membranes
D) Surgical sutures


C

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Your patient has sprained her ankle after falling down a flight of stairs. She is stable, so you are able perform a focused secondary assessment. What do you next for this patient?

A. Take vital signs B. Gather the patient history C. Assess her mental status D. Call for an ambulance

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Your patient is a 48-year-old female who is unconscious with snoring respirations after ingesting an unknown substance. You note cold, peripherally cyanotic skin and a weak, rapid pulse. Her pupils are equal and reactive but constricted. She has no unusual odors, and her blood glucose level is 80 mg/dl. HR = 74, BP = 100/68, RR = 4, SaO2 = 91%. Which of the following is appropriate?

A) Intubate, ventilate using supplemental oxygen, IV, 1 mEq/kg sodium bicarbonate B) Intubate, ventilate using supplemental oxygen, IV, 2 mg naloxone, 100 mg thiamine, 25 gm dextrose C) Assist ventilations using supplemental oxygen, IV, 2 mg naloxone D) Assist ventilations using supplemental oxygen, IV, 2 mg naloxone, 100 mg thiamine, 25 gm dextrose

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One tool to help you develop the overall impression of the severity of a child's condition is the:

a. ITLS secondary survey b. pediatric assessment triangle c. presence of peripheral pulses d. question you ask the parents

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A 61-year-old woman saw her primary care physician because of fatigue and dyspnea on exertion for the past 3 months

Past medical history noted that the patient had been treated 5 years earlier with the DNA alkylating agent cyclophosphamide, non-Hodgkin lymphoma. A CBC revealed the following: WBC: 3.6 x 109/L RBC: 2.8 x 1012/L Hb: 9.1 g/dL MCV: 104 fL Reticulocyte count: 2.0% Normal vitamin B12 and folic acid levels PLT: 120 x 109/L Differential: 6% blasts A bone marrow biopsy revealed hypercellularity, and dyshematopoiesis of all three myeloid lineages. Suggest an appropriate follow-up test and a likely diagnosis for this patient. What will be an ideal response?

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