You are a new nurse working at a local hospital when Stanley, a 24-year-old male patient, is brought in by his wife, Stephanie. Much of the patient’s history is relayed to you by Stephanie because Stanley is acutely ill with a very productive, deep cough and it is difficult for him to breathe. Stanley’s medical history is unremarkable other than a recent mission trip over the summer to a “developing country” where he helped at the village clinic. A chest x-ray shows that there is a granuloma, also known as a Ghon complex, of his right lung and many infiltrates throughout both lung fields.

Why type of necrosis is Stanley experiencing?

Auer rods may be seen in which of the following cells?

The most common form of acute leukemia in adults

A patient presents with massive leukocytosis, s/s of anemia, thrombocytopenia, and is determined to have the Philadelphia chromosome.  Which of the below is his diagnosis? 

The histological presence of smudge cells is seen in which type of leukemia?

Which gene mutation is associated with the development of chronic myeloid leukemia?

The starry sky pattern on these cells is likely caused by which virus?

Dr Hall's grandpa has become obsessed with his diet after his doctor diagnosed him with hypertension. He has taken his doctor's orders to the extreme and drinks only water, and eats only unprocessed, low-sodium foods. He calls up his granddaughter (Dr. Hall) because he is feeling more tired than usual and has a mild headache that Advil won't help. After taking him to the hospital, he is diagnosed with hyporeflexia and his EKG is normal. What is his most likely problem?

What condition can cause this EKG reading?

You have a patient with high serum and low urine osmolarity. Which of these conditions can cause this effect?

Dr Hall was hanging out with her mother at the Mayo clinic after her mother's hip replacement. A few days later Dr Hall's mother starts to feel like crap. The next day she runs a fever of 102, and starts coughing. What is the cause of her pneumonia?

42 y/o female has the flu for four days with incessant vomiting. She presents to the ED two days after stopping insulin due to no food intake. (Use the normal values provided in your PPTs)

Na+ 130

Cl- 80

HCO3- 10

pH 7.21

Pco2 25

What is her condition?

42 y/o female has the flu for four days with incessant vomiting. She presents to the ED two days after stopping insulin due to no food intake

Na+ 130

Cl- 80

HCO3- 10

pH 7.21

Pco2 25

What is her anion gap?

Marie Joy’s lab test revealed that her serum calcium is 2.5 mEq/L. Which assessment data does the nurse document when a client diagnosed with hypocalcemia develops a carpopedal spasm after the blood-pressure cuff is inflated?

The nurse reviews the following results for an arterial blood gas (ABG). Using the standard ABG from your PowerPoints, how does the nurse interpret these results? pH 7.52, PCO₂ 31, HCO₃ 26, PaO₂ 88%

5. The typical signs and symptoms observed in a patient with elevated PTH levels include which of the following?

Water intoxication (drinking too much water too quickly) causes hypernatremia

Paresthesia, Cramps, Tetany, Chvostek sign, Trousseau sign, Hypotension, Prolong QT interval, Bone Pain, fractures

Alkalosis seen in

You are reviewing the ABG for a client who has vomited for 24 hours. You should expect which of the following acid-base imbalances?

A 50 y/o M w/ a 30 year history of alcoholism presents to the clinic with abdominal discomfort. The patient states that his abdomen has grown in size a lot in the past month. Physical Exam: “fluid wave test” was performed and was positive. Which pressure at the capillary level is responsible for the shift of fluid into his abdominal cavity?

SIADH would cause ___ serum osmolarity and ___ urine osmolarity

Which anemia shows microcytic hyperchromic anemia?

What protein secreted from the parietal cells is missing in one type of macrocytic normochromic anemia?

Amy, a 70 year old patient comes to the Emergency department with the inability to urinate and when she does it burns. She also has a fever of 102 degrees along with an elevated heart rate of 98 beats per minute. Upon further assessment you also notice that Amy looks pale in the face and her skin is cold and sweaty. Lastly, you take Amy's blood pressure and it happens to be 96/65. The presence of petichiae and purpura worry that doctor that she is in DIC. She is in shock, but what labs will inform you if she is in DIC?

A 12-year-old girl with a bandage enters the hospital and shares with the nurse that she cut her hand from trying to cut apple slices for herself with a knife earlier that morning. Expecting that the cut would heal fairly quickly since it wasn’t too deep and wide, she initially wasn’t concerned. However, after continual minutes of bleeding with no signs of blood clotting showing she grew concerned. She bandaged herself up and noticed it began to clot later in the day so she thought she was fine. The only reason she came to the hospital was because her parents were busy at work. She tells the nurse this has happened to her a couple times before and her friends recently told her that it’s not normal, so it began to scare her, although she had seen both of her parents deal with the same sort of thing before too.

The nurse notices a red spotty rash on the girls legs, which the girl tells the nurse is almost always present. After some labs are run, she found to have normal D-Dimer, high BT, normal PT and aPTT, and normal platelet count.  

Due to the signs shown with this girl, what condition might she have? 

Renin ultimately stimulates the activation of Angiotensin II.  Which of the following is NOT a function of Angiotensin II?

This B vitamin can help reduce the chance of having a baby with SB

All of the following is true about Disseminated Intravascular Coagulation EXCEPT: