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A 48 year old construction worker presents to the ER with a 4 cm scalp laceration.  He was at work and tripped, hitting the top of his head against a metal beam.  There was No loss of consciousness (LOC), he denies headache, nausea, vomiting or visual disturbance.  His last tetanus was in 2001. What is the best treatment plan?

Beulah is your 76 year old patient. She presents today with feeling extremely tired with complaints of dizziness. Her PMH includes past stents to RCA, hypertension, hyperlipidemia, diabetes, CKD. You get a quick EKG after noting an irregular pulse and bradycardia.  Which of the following best describes your plan of care.

A 16 year old male patient presents with 3 cm laceration to left lower leg which will require suturing. The wound was cleaned with chlorhexidine.  You instruct the nurse to irrigate with _____ ml of NS, pull up ____________ for anesthetization of the wound area.  You request a laceration tray, gloves and a ________ (size/kind) of suture. (3 points)

A patient presenting to the ED is unconscious & undergoing resuscitation efforts by EMS upon arrival. EMS provides you with the first EKG below which they obtained at the scene prior to transporting the patient to your facility. You obtain another EKG upon receiving the patient and find the patient is now in the second rhythm below. Interpret these EKGs:

Tim has PMH of HTN, hyperlipidemia, CKD stage 3, & NIDDM. His current medications are Lisinopril, Spironolactone, Metformin, and Atorvastatin. He presents with complaints of fatigue, diarrhea, and myalgias with the following EKG. Which of the following best describe Tim and his EKG:

This patient presents with complaints of dizziness, fatigue & shortness of breath for the past 3 days. Interpret their EKG: 

Interpret the following EKG: 

Which is the most successful and safest method for removal of cerumen from an uninfected ear with an intact tympanic membrane? 

You are examining a patient who presents to your clinic with report of ear pain and foreign body in the ear. You are aware that you should refer to ENT for the foreign body removal & NOT attempt it in your clinic if: 

The different infarct patterns are named according to the leads with maximal ST elevation.  Match the infarct pattern with the leads of maximal ST elevation.