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AMLS frågor från boken, Exams of Pest Management

University of Kansas (KU)Pest Management

AMLS frågor från boken (newest update)

Typology: Exams

2024/2025

Available from 07/14/2025

smart-scores 🇺🇸

5

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AMLS !| frågor !| från !| boken

1. !| A !| 33-year-old !| man !| has !| right !| lower !| quadrant !| abdominal !| pain !| and !|

vomiting. !|

forcefully. !|

His !| vital !| signs !| are !| now !| include !| a !| blood !| pressure !| of !| 102/72 !| mm !| Hg; !| a !| pulse !|

rate !| of !| 52 !| beats/min, !| and !| respirations !| of !| 20 !| breaths/min. !| The !| alteration !| in !|

his !| vital !| signs !| is !| likely !| related !| to:

a. !| Cardiac !| conduction !| defect

b. !| Fluid !| loss

c. !| Medication !| side !| effects

parasympathetic !| stimulation !| on !| the !| SA !| node !| and !| AV !| node !| in !| the !| heart.

2. !| Your !| patient !| is !| complaining !| of !| a !| cramping !| pain !| around !| her !| umbilical !|

a. !| Appendix

b. !| Gallbladder

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Download AMLS frågor från boken and more Exams Pest Management in PDF only on Docsity!

AMLS !| frågor !| från !| boken

!| A !| 33-year-old !| man !| has !| right !| lower !| quadrant !| abdominal !| pain !| and !| vomiting. !| Five !| minutes !| after !| you !| administer !| a !| dose !| of !| ondansetron, !| he !| vomits !| forcefully. !| His !| vital !| signs !| are !| now !| include !| a !| blood !| pressure !| of !| 102/72 !| mm !| Hg; !| a !| pulse !| rate !| of !| 52 !| beats/min, !| and !| respirations !| of !| 20 !| breaths/min. !| The !| alteration !| in !| his !| vital !| signs !| is !| likely !| related !| to: a. !| Cardiac !| conduction !| defect b. !| Fluid !| loss c. !| Medication !| side !| effects d. !| Vagal !| stimulation !| - !| Correct !| answer !| ✔d. !| Vagal !| stimulation Rationale: !| The !| vagus !| nerve !| plays !| a !| role !| in !| GI !| stimulation. !| It !| also !| exerts !| parasympathetic !| stimulation !| on !| the !| SA !| node !| and !| AV !| node !| in !| the !| heart.
!| Your !| patient !| is !| complaining !| of !| a !| cramping !| pain !| around !| her !| umbilical !| area !| that !| won't !| let !| up. !| This !| is !| most !| suggestive !| of !| disease !| involving !| the: a. !| Appendix b. !| Gallbladder

!| A !| 43-year-old !| man !| with !| diffuse !| abdominal !| pain !| and !| vomiting !| has !| a !| yellowish !| discoloration !| of !| his !| sclera. !| This !| indicates !| he !| has !| excess !| serum: a. !| Amylase b. !| Bilirubin c. !| Fibrinogen d. !| Protein !| - !| Correct !| answer !| ✔b. !| Bilirubin Rationale: !| Jaundice !| occurs !| in !| patients !| who !| have !| excessive !| bilirubin. !| This !| is !| often !| seen !| in !| advanced !| hepatitis.
!| A !| 42-year-old !| man !| complains !| of !| a !| gnawing, !| severe !| pain !| in !| the !| epigastric !| area !| that !| radiates !| to !| his !| back. !| His !| vital !| signs !| include !| a !| temperature !| of !| 102°F, !| a !| blood !| pressure !| of !| 94/68 !| mm !| Hg, !| a !| pulse !| rate !| of !| 128 !| beats/min, !| and !| respirations !| of !| 24 !| breaths/min. !| Your !| highest !| priority !| intervention !| would !| be !| to !| administer: a. !| Metoclopramide, !| 5 !| mg !| IV b. !| Morphine, !| 2 !| mg !| IV

!| A !| 45-year-old !| woman !| complains !| of !| right !| upper !| quadrant !| abdominal !| pain. !| To !| help !| confirm !| your !| differential !| diagnosis !| if !| you !| suspect !| cholecystitis !| you !| should: a. !| Ask !| her !| to !| take !| a !| deep !| breath !| as !| you !| press !| upward !| into !| her !| right !| upper !| quadrant. b. !| Auscultate !| her !| bowel !| sounds. c. !| Percuss !| her !| abdomen. d. !| Tap !| her !| heel. !| - !| Correct !| answer !| ✔6. !| a. !| Ask !| her !| to !| take !| a !| deep !| breath !| as !| you !| press !| upward !| into !| her !| right !| upper !| quadrant Rationale: !| Severe !| right !| upper !| quadrant !| pain !| that !| increases !| with !| a !| deep !| breath !| suggests !| gallbladder !| or !| liver !| disease.
!| An !| 18-year-old, !| 35-kg !| adolescent !| female !| is !| vomiting !| copious !| amounts !| of !| bright !| red !| blood. !| The !| most !| likely !| diagnosis !| would !| be: a. !| Crohn's !| disease b. !| Esophageal !| varices c. !| Mallory-Weiss !| syndrome d. !| Peptic !| ulcer !| disease !| - !| Correct !| answer !| ✔c. !| Mallory-Weiss !| syndrome Rationale: !| Esophageal !| varices !| are !| more !| common !| in !| chronic !| alcoholism. !| Eating !| disorders !| can !| cause !| severe !| vomiting !| that !| may !| precipitate !| a !| Mallory- Weiss !| tear.

!| An !| 88-year-old !| woman !| complains !| of !| nausea, !| vomiting, !| and !| constipation. !| Her !| abdomen !| is !| tender !| to !| palpation !| and !| appears !| distended. !| Her !| lungs !| are !| clear, !| and !| her !| vital !| signs !| include !| a !| blood !| pressure !| of !| 104/76 !| mm !| Hg, !| a !| pulse !| of !| 120 !| beats/min, !| and !| respirations !| of !| 20 !| breaths/min. !| An !| appropriate !| action !| would !| be !| to: a. !| Administer !| sodium !| bicarbonate, !| 1 !| mEq/kg !| IV. b. !| Ask !| her !| to !| contact !| her !| personal !| physician !| in !| the !| morning. c. !| Infuse !| normal !| saline !| at !| 250 !| mL/h. d. !| Suggest !| an !| enema !| to !| relieve !| the !| pressure !| of !| her !| stool. !| - !| Correct !| answer !| ✔8. !| c. !| Infuse !| normal !| saline !| at !| 250 !| rnL/h Rationale: !| Visual !| observation !| and !| physical !| exam !| indicate !| fluid !| loss. !| Immediate !| treatment !| would !| be !| IV !| therapy !| with !| normal !| saline.
!| A !| 45-year-old !| man !| complains !| of !| severe !| epigastric !| pain !| radiating !| to !| his !| back. !| He !| has !| vomited !| several !| times. !| His !| history !| is !| significant !| for !| alcohol !| abuse !| and !| hypertension !| You !| suspect !| an !| inflammatory !| condition !| of !| a !| gastric !| accessory !| organ. !| To !| confirm !| your !| differential !| diagnosis !| on !| physical !| exam !| you !| should !| assess !| for: a. !| Blood !| in !| the !| stool b. !| Psoas !| sign c. !| Grey !| Turner !| sign