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PHM Learning 101

Total questions: 3

Worksheet time: 2mins

Name
Class
Date
1.

A 15 y/o male presents to the ED with 2 weeks of bloody mucoid diarrhea and lower abd. pain. He reports unintentional weight loss of 5 kg over the last 3 months. Which test is most likely to confirm the diagnosis?

a)

Stool culture

b)

Abdominal US

c)

stool guaiac

d)

Endoscopy/colonoscopy

e)

UGI with SBFT

2.

9 mo old boy with a h/o eczema, recurrent OM and 3 hospitalizations for pneumonia is admitted to the hospital for abnormalities on a routine blood test. on exam, he has numerous petechiae across his chest, abdomen and back. the labs show:

WBC 6.8, Hgb 11.3, HCT 34.1, Plt 12, Peripheral smear : small, rare platelets, Blood type A+, DAT neg.

Which treatment is most likely to be curative?

a)

Anti-D Immune Globulin

b)

Methylpred

c)

IVIG

d)

Hematopoeitic stem cell transplant

e)

Clarithromycin

Erythromycin and

Metronidazole.

3.

a 13 y/o obese male presents following an episode of chest pain after a 3 mile run that resolved after rest. He reports similar episode while playing soccer 1 mo ago. His family history includes an uncle who died suddenly of unknown causes in college. The patient's PE has a SEM at the left sternal border, louder with Valsalva, otherwise normal. EKG shows increased voltages in the precordial leads, left axis deviation, and deep Q waves in the interior and lateral leads. Next Best step?

a)

serial troponins

b)

initiation of beta blockers

c)

Placement of an automatic implantable cardioverter defibrillator

d)

initiation of amlodipine

e)

Reassurance