Pre-DES exam
A 31-year-old man is brought to the emergency room following an automobile accident in which his chest struck the steering wheel. Examination reveals stable vital signs, but the patient exhibits multiple palpable rib fractures and paradoxical movement of the right side of the chest. Chest x-ray shows no evidence of pneumothorax or hemothorax, but a large pulmonary contusion is developing. Proper treatment consists of which of the following?
Tracheostomy, mechanical ventilation, and positive end-expiratory pressure
No treatment unless signs of respiratory distress develop
Stabilization of the chest wall with sandbags
Stabilization with towel clips
Immediate operative stabilization
A 25-year-old woman with blonde hair and a fair complexion complains of a “mole.” The lesion is on the upper back. The lesion is 6 mm, darkly pigmented, and asymmetric with a very irregular border. The next step in management is to
Tell the patient to avoid sunlight
Follow the lesion for any evidence of growth
Obtain a metastatic workup
Obtain a full-thickness excisional biopsy
Obtain a shave biopsy
A 36-year-old white female nurse comes to the ER due to a sensation of fast heart rate, slight dizziness, and vague chest fullness. The following rhythm strip is obtained, which shows
Atrial fibrillation
Atrial flutter
Supraventricular tachycardia
Ventricular tachycardia
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