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The PTA is seeing a patient with the diagnosis of tibial plateau fracture. The POC calls for TE , TA, and gait training. The patient is NWB and wears a knee immobilizer during gait, MMT is generally 3+/5 flexion and 3-/5 extension. Please choose the most appropriate interventions from the following: 

The PTA is seeing a patient for back pain and tenderness and muscle spasm in the rhomboids and traps. What would be the most appropriate treatment to use to decrease the muscle spasms?

A 61-year-old male with history of ischemic cardiomyopathy and prior myocardial infarction is admitted to the ICU with symptoms of worsening shortness of breath and lower extremity edema. He has had cardiac resynchronization therapy with an implantable cardiac defibrillator (CRT-ICD) implanted 1 year ago. His home medications include carvedilol 12.5 mg twice a day, lisinopril 5 mg daily, aspirin 81 mg daily, spironolactone 25 mg daily, furosemide 40 mg daily, and atorvastatin 40 mg daily. On examination, he is afebrile, his heart rate (HR) is 60 beats/min, his blood pressure (BP) is 110/59 mmHg, his jugular venous pressure is elevated, his lungs are clear, he has a 3/6 holosystolic murmur with S3, and his lower extremities are cool with +2 pitting edema. Laboratory testing reveals sodium of 124 mmol/L, potassium of 4.6 mmol/L, blood urea nitrogen (BUN) of 51 mg/dL, and creatinine of 1.8 mg/dL. An ECG shows 100% atrioventricular paced rhythm.  Which of the following statements is FALSE with respect to this patient’s management?

A 76-year-old female undergoes uncomplicated coronary angiography via the right femoral artery for evaluation of a newly diagnosed cardiomyopathy. She is found to be without obstructive coronary artery disease. The patient is admitted to the intensive care unit for further monitoring. Her femoral angiogram is shown in the figure that follows. Angio2.jpg Two days following admission, the patient begins to cough. Shortly thereafter, she is observed to have sudden and rapid expansion of her right lower quadrant, with associated hypotension. Which of the following is the most appropriate next step?

ECG12.gif Based on the findings of this electrocardiogram, identify which coronary artery is affected:

A 69-year-old male patient presents with severe dyspnea, respiratory rate 32, SaO2 84%, heart rate 112, a blood pressure of 82/50, cold extremities, and confusion. After examining the patient, he begins to cough pink-tinged sputum. This scenario reflects:

All of the following conditions can cause secondary hypertension except:

You are being emergently called to the bedside of a 52-year-old otherwise healthy female who underwent a thoracotomy for left lower lobectomy for non-small-cell lung cancer one day ago. According to the nurse, the patient received a 2mg IV hydromorphone bolus 30 minutes ago. You find a somnolent patient, with a respiratory rate of 12/min, stable oxygen saturation of 97% on room air. The patient’s heart rate is 167 beats/min and irregular, blood pressure 73/34 mmHg. An ECG confirms the new diagnosis of atrial fibrillation (AF). The nurse states that the tachycardia started about 5 minutes ago.  Which would be the MOST appropriate next step?

A 22-year-old male is admitted to the intensive care unit after sustaining a cardiac arrest while playing soccer in a rural area. Cardiopulmonary resuscitation was performed, but no automatic external defibrillator was available; he was intubated in the field because of poor mental status. He is transferred to your tertiary care ICU. Examination reveals an ejection systolic murmur, and he followed commands when sedation was lightened. Transthoracic echocardiography reveals discrete upper septal hypertrophy measuring 18 mm and an elevated left ventricular outflow velocity. He successfully passes a spontaneous awakening trial and spontaneous breathing trial. Unfortunately, at that time, he develops atrial fibrillation, became hypotensive to blood pressures of 94/52, and FiO2 was increased from 0.4 to 0.6 in response to desaturations to the low 80s. The best treatment for this patient’s atrial fibrillation is:

A 24-year-old female presents to the ED with a complaint of, “My heart is pounding out of my chest and I’ve been short of breath for 4 hours.” She has had similar episodes, but all have spontaneously stopped. She is in good health and takes no medications. Her blood pressure is 120/80 mmHg and pulse too rapid to count. Her rhythm is shown in the following ECG. ECG2.jpg What is the most appropriate immediate management for this patient?