By Kevin Conrad
Hospital medication has multiplied past the perform of inner drugs to co-manage sufferers within the fields of orthopedics, neurosurgery and normal surgical procedure. This concise advisor covers the evolution and increasing scope of clinic drugs and the diversity of medical, moral and administrative occasions a Hospitalist encounters. 500 questions about inpatient care, co-management of sufferers and health facility process administration are supplied with the objective of assessing medical and educational competency. Questions function real instances with evidence-based options. beneficial to physicians, condominium employees and complicated nurse practitioners, this up to date referenced studying textual content encompasses all elements of medical institution care.
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Additional resources for Absolute Hospital Medicine Review: An Intensive Question & Answer Guide
His electrolytes and complete blood count are within normal limits. A toxicology screen is normal. A noncontrast CT scan of his head is unremarkable. What is the best course of action at this time? A) Cerebral angiogram B) Magnetic resonance angiogram C) Reassess in a few hours D) Psychiatric evaluation E) Lumbar puncture Answer: C The patient has Todd’s paralysis, which may take minutes to many hours to return to normal. The abnormal motor movements that begin in a restricted area and then progress to involve a larger area are termed Jacksonian march.
UA is positive with 3+ leukocytes and many bacteria. The admitting physician empirically started moxifloxacin 400 mg IV daily. You are assuming care the following day. Her vital signs are stable, and she seems in no distress. Inpatient Medicine A) B) C) D) What would be the next best step? Continue current regimen. Discontinue moxifloxacin and start ceftriaxone. Continue moxifloxacin but change to PO. None of the above. Answer: B Moxifloxacin is a quinolone antibiotic that does not achieve adequate concentration in the urine, thereby eliminating its use in the treatment of urinary tract infections.
A 72-year-old female was admitted with an ankle fracture. One hour after receiving a dose of morphine, she developed the acute onset of diffuse abdominal pain. She has a history of known cardiovascular disease and L. Bateman and K. Conrad hepatitis C. Her current medications are atenolol, aspirin, and lisinopril. 0 °F), blood pressure is 84/60 mmHg. Abdominal examination reveals diffuse abdominal tenderness upon palpation. No guarding or rebound is noted. No ascites is noted. CT scan reveals small bowel wall thickening and intestinal pneumatosis.