Aplastic anemia is usually first noted by bleeding and the presence of petechial hemorrhages. What clinical sign in the early stages of the disease should cause doubt on the diagnosis of aplastic anemia?
a. Hepatosplenomegaly
b. Splenomegaly
c. Lymph node enlargement
d. Fever
Correct Answer: B
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Your patient is a 45-year-old male with a history of bipolar disorder. He is sitting at the kitchen table, conscious, alert, and oriented. He is pleasant and greets you as you walk in. The patient's wife called EMS because he has refused to take his lithium and is "driving her crazy with his hyperactive attitude." She insists that you transport him to the hospital. The patient admits to voluntary
noncompliance with his lithium, stating, "I didn't like the way it made me feel." He denies any suicidal thoughts and states that he has not felt "this good for a long time." He is curious about your job and wants to know how he could get into a paramedic class. He states that he's also thinking about going to law school but wants to finish his Ph.D. first. The physical examination is unremarkable. HR = 82, BP = 122/80, RR = 10, SaO2 = 99%. He says, "See, I told you I'm fine. I don't need to go to the hospital." Which of the following is the best course of action? A) Contact medical direction. B) Explain to the patient that he has no choice; if he is unwilling to take his medication, you must take him to the hospital for evaluation. C) Restrain the patient if necessary and transport. D) Request law enforcement assistance for legal detention of the patient for transport to the ED.
Fistula of bile duct is reported with code _____.
Fill in the blank(s) with the appropriate word(s).
Which is a most probing question a grantmaker might ask during a financial assessment?
A) What supportive finances will the department provide to maintain equipment purchased with the grant award? B) What is the real need for the improvement the applicant requested? C) Are the project costs more than the annual budget? D) If there is such a great need, why has the applicant not funded it already with the organization's money?
Most people with primary tuberculosis:
a. Have high fever, nausea, and sweating b. Have shortness of breath and dizziness c. Show signs of cyanosis d. Are asymptomatic or may experience vague symptoms such as fatigue, loss of appetite, and low-grade fever