Category: Uncategorized

A 69-year-old man with prior abdominal surgery presents with vomiting, distention, and abdominal pain. CT shows small bowel obstruction with a closed-loop configuration, mesenteric edema, and reduced bowel wall enhancement. Which management is most appropriate?

A 39-year-old patient without known cirrhosis presents with acute jaundice, confusion, INR 2.1, hypoglycemia, and markedly elevated aminotransferases. Which action is most appropriate?

Match each presentation with the most likely condition.

A 22-year-old woman tests positive for uncomplicated cervical Chlamydia trachomatis infection on routine STI screening. She is not pregnant and has no allergy history and denies any symptoms. Which treatment choice is most appropriate?

A 73-year-old retired farmer presents with a tender, enlarging, scaly lesion on the superior helix of the ear. He reports that it has grown over the past two months and occasionally bleeds. Which action is most appropriate?

A patient treated for DKA has improved clinically. The anion gap has closed, beta-hydroxybutyrate has substantially cleared, pH and bicarbonate have normalized, and the patient is able to eat. What is the safest transition plan?

A 70-year-old patient with untreated Graves disease presents with fever, atrial fibrillation with rapid ventricular response, pulmonary edema, agitation, diarrhea, and severe thyrotoxicosis. Thyroid storm is suspected. When hemodynamically safe, which medication sequence is most appropriate (First to last)?

A patient is being discharged after an adrenal crisis. Which discharge instructions are appropriate? Select all that apply.

An 82-year-old patient with type 2 diabetes presents with lethargy and dry mucous membranes. Glucose is 910 mg/dL, calculated effective serum osmolality is 345 mOsm/kg, beta-hydroxybutyrate is 0.8 mmol/L, venous pH is 7.36, and creatinine is elevated above baseline. What is the priority treatment principle?

A kidney transplant recipient taking tacrolimus develops pneumonia and is prescribed clarithromycin. Three days later, he has tremor, diarrhea, hyperkalemia, and rising creatinine. What is the most likely medication-related concern?