BS question

[MudPhud20XX]

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A 42-year-old woman who is hospitalized because of pneumonia is evaluated because of acute onset of agitation, confusion, nausea, and hallucinations. She thinks that her brother, who is in the room, is her father, and she claims that she sees angels dancing around her bed. Physical examination shows flushed face. Medical record shows reduced urine output during the past 12 hours. Which of the following is the most appropriate next step in diagnosis?

A. Check muscle tone
B. measure temp
C. request psychologic consult
D. measure alertness
E. check for medical hx of schizophrenia

 

[MudPhud20XX]

anyone?

 

[kagman]

anyone?

Its obv Delirium. I'd go with measure temp.

 

[MudPhud20XX]

Its obv Delirium. I'd go with measure temp.

yeah that's the answer, but why not E?

 

[TPEE711]

Most likely because you need to rule out the delirium and treat that. No need to inquire about schiz at this point in time due to the acute onset.

 

[kagman]

Most likely because you need to rule out the delirium and treat that. No need to inquire about schiz at this point in time due to the acute onset.

Exactly

 

[usmleswot]

Your patient has just been diagnosed with Familial Adenomatous Polyposis (FAP). There is a genetic test to determine whether the children of parents with the disease will develop it. The test is very accurate. The patient is divorced and refuses to give you his consent to inform his ex-wife who now has custody of their three children. He threatens to sue you if you reveal elements of his medical care to his wife.

What should you do?

A. Respect the patient's right to confidentiality
B. Transfer the patient's care to another physician as long as the patient agrees.
C. Ask the health department to inform the patient's ex-wife about the disease risk.
D. Seek a court order to inform the patient's ex-wife.
E. Inform the patient's ex-wife of the risk to the children.
F. Inform the ex-wife's doctor.
G. Inform the children and allow them to make the choice as to whether to get tested.

 

[MudPhud20XX]

Your patient has just been diagnosed with Familial Adenomatous Polyposis (FAP). There is a genetic test to determine whether the children of parents with the disease will develop it. The test is very accurate. The patient is divorced and refuses to give you his consent to inform his ex-wife who now has custody of their three children. He threatens to sue you if you reveal elements of his medical care to his wife.

What should you do?

A. Respect the patient's right to confidentiality
B. Transfer the patient's care to another physician as long as the patient agrees.
C. Ask the health department to inform the patient's ex-wife about the disease risk.
D. Seek a court order to inform the patient's ex-wife.
E. Inform the patient's ex-wife of the risk to the children.
F. Inform the ex-wife's doctor.
G. Inform the children and allow them to make the choice as to whether to get tested.

A right?

 

[usmleswot]

A right?

Apparently not. It's E. Inform the patient's ex-wife of the risk to the children.

This is based on the "do no harm" philosophy.

"In this case the children have a right to know whether their lives will be cut short. The right to one person's privacy is not as important as the right of another person to safety. This is the established standard and requires no court order. You are more liable if you do NOT inform the mother."

 

[MudPhud20XX]

A mother takes her son to the pediatrician to determine whether he is progressing in a developmentally appropriate manner. The child is able to sit alone, pull himself to a standing position, and hold his own bottle. The pediatrician reassures the mother that the child is "right on track." Which of the following is the most likely age of the child?

 

[usmleswot]

A mother takes her son to the pediatrician to determine whether he is progressing in a developmentally appropriate manner. The child is able to sit alone, pull himself to a standing position, and hold his own bottle. The pediatrician reassures the mother that the child is "right on track." Which of the following is the most likely age of the child?

~ 10 months

 

[MudPhud20XX]

excellent.

At the age of 10 months, a developmentally normal child should be able to sit alone, creep, point with an index finger, and pull himself to a standing position. The child should also be able to respond to social play, such as peek-a-boo games, and feed himself basic foods such as crackers and a bottle.

 

[MudPhud20XX]

A cohort study follows a group of patients with a history of myocardial infarction (MI) to determine whether daily physical activity reduces risk of recurrent MI independent of level of body mass index (BMI). Which of the following statistical tests is the best choice to determine this effect?

A. analysis of variance
B. Chi-square test
C. Logistic regression analysis
D. Power analysis
E. The t test

 

[kagman]

A cohort study follows a group of patients with a history of myocardial infarction (MI) to determine whether daily physical activity reduces risk of recurrent MI independent of level of body mass index (BMI). Which of the following statistical tests is the best choice to determine this effect?

A. analysis of variance
B. Chi-square test
C. Logistic regression analysis
D. Power analysis
E. The t test

Powr/?

 

[MudPhud20XX]

dang, I forgot the answer. I will check and get back to you.