Block 5- Inpatient

A 55-year-old male has New York Heart Association class III chronic systolic heart failure due to hypertensive cardiomyopathy. Which one of the following is CONTRAINDICATED in this patient?

A healthy 30-year-old male presents to your office with a 2-cm abscess on his leg. There is no surrounding erythema and he is afebrile. You incise and drain the abscess. Which one of the following would be the most appropriate management for this patient?

An anxious 30-year-old white female comes to the emergency department with shortness of breath, circumoral paresthesia, and carpopedal spasms. Which one of the following sets of blood gas values is most consistent with this clinical picture?

You are seeing a 27-year-old man with unilateral scrotal pain and swelling that has become worse over the past 24 hours. He has a low-grade fever and a tender and swollen epididymis with scrotal erythema. You suspect acute infectious epididymitis. Which one of the following is the optimal treatment for this patient?

A 40-year-old male respiratory therapist presents for a health examination prior to hospital employment. His history indicates that as a child he lived on a farm in Iowa. His examination is unremarkable, but a chest radiograph is shown. No other findings are noted. A PPD skin test is negative. The findings in this patient are most likely a result of

A transudative pleural effusion is identified after thoracentesis. Which of the following clinical scenarios is most consistent with this type of effusion?

A 42-year-old female presents to the emergency department with a 2-hour history of palpitations. Her physical examination is normal except for what seems to be a regular rhythm tachycardia and a blood pressure of 84/54 mm Hg. An EKG reveals a regular narrow-complex tachycardia at a rate of 180 beats/min without clear atrial activity. The optimal treatment for this patient is

A 42-year-old male with a 4-year history of multiple sclerosis (MS) presents with an acute attack manifested by ataxia, incoordination, and dysarthria. Which one of the following is indicated for managing this flare-up of his MS?

A 75-year-old otherwise healthy white female states that she has passed out three times in the last month during her daily brisk walk. Which one of the following is the most likely cause of her syncope?

A 65-year-old male presents to an urgent care center with a foot ulcer. His past medical history is significant for hypertension, COPD, and diabetes mellitus. He has been hospitalized several times in the past year for COPD exacerbations and a hip fracture. He does not have any other current problems. On examination he has a temperature of 37.3°C (99.1°F), a pulse rate of 105 beats/min, a respiratory rate of 16/min, and a blood pressure of 142/83 mm Hg. His examination is unremarkable except for a 2-cm ulcer on the ball of his left foot that has 3 cm of surrounding erythema and some purulent drainage. His CBC is normal except for a WBC count of 14,300/mm3 (N 4300-10,800). Which one of the following would be the most appropriate choice for initial treatment?