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11 Dec 2019

A 53-yow complainsthat her left upper arm is often swollen. Her past medical historyis significant for a radical mastectomy for breast cancer 2 yearsago. Which of the following is the most likely explanation fortissue swelling in this patient?
Question 31 options:
A)
Chronicinflamation
B)
Increased oncoticpressure
C)
Lymphaticobstruction
D)
Thrombophlebitis
E)
Varicoseveins

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Related questions

The First Time’s Not the Problem Steven, an eight-year old boy, is brought to your office Monday morning by his father to have his upper arm checked for a possible infection. Dad is worried because the area of a bee sting on the boy’s arm is getting more red, itchy, and tender. The father gave him some children’s acetaminophen yesterday, which relieved the discomfort somewhat. There is no history of medical problems or allergies, and the child takes no regular medication. The child is otherwise feeling well, and his father tells you he is playing and eating normally. There is no previous history of bee stings, and Steven proudly tells you he “hardly even cried” when he got stung. There is a half-dollar-sized area on his left upper arm that is puffy and red, but there is no streaking or drainage, and the area does not appear to be infected. Steven’s temperature is normal, and his lungs are clear.

Part A

How should you describe this skin reaction to the bee sting? How should you describe this skin reaction to the bee sting?

a. Type IV hypersensitivity reaction

b. Type II hypersensitivity reaction

c. Type III hypersensitivity reaction

d. Type I hypersensitivity reaction

Part Part B

Why did the skin turn red and swell up?

a. Redness and swelling are due to the release of antihistamine during degranulation of mast cells and basophils.

b. Redness and swelling are due to the release of histamine during degranulation of mast cells and basophils.

c. Redness and swelling are due to the release of IgG from plasma cells.

d. Redness and swelling are due to the release of IgE from mast cells.

Part Part C

What is urticaria?

a. purpura

b. hives

c. hemolysis

d. anaphylaxis

Part Part D

Which of the following OTC medications would provide the best relief of symptoms?

a. antihistamines

b. aspirin

c. antibiotics

d. acetaminophen

Part E

This child has had a moderate reaction to his “first” bee sting. If he were to be stung again, the signs/symptoms could be severe and life-threatening due to constriction of airways. What is this systemic reaction called and what would be the treatment of choice?

a. hemolysis; blood transfusions

b. delayed hypersensitivity; acetaminophen

c. purpura; calamine lotion

d. anaphylaxis; epinephrine

Question 11 options:

A condition characterized by the growth of endometrial cells in areas other than the endometrium is called

Question 12

A standard screening test for cervical cancer is called

Question 13

The period of prenatal development in which the basic parts of the organ systems are formed is the

Question 14 options:

Detection of

Spell check is used by pregnancy test kits to detect the early stages of pregnancy.

Question 15

The actual gene sequence governing the expression of a trait is called a

Spell check , whereas the physical expression of this trait is the PHENOTYPE , which can also be defined as the physical expression of a gene.

Question 16

Down syndrome is a disorder where a person has an chromosome 21.

Question

A picture of all chromosomes taken in metaphase and used for analysis is called a

Question 18

A pregnancy where the fertilized egg implants in an area other than the uterus is called

Question

The basic building blocks of DNA are called

Question 20

Monosomy of the X chromosome characterized by a short stocky neck, underdeveloped secondary sexual characteristics, and infertility is called

syndrome.

Question 21

A deletion of the short arm of chromosome 5 with a typical cry that resembles a meowing cat characterize

Question 22

A serious psychological disorder characterized by the fear of becoming obese is called

Question 23

Diffusion of gases between capillary beds and tissues is called respiration.

Question 24

The destruction of alveoli by irritants such as cigarette smoke and agricultural dust is found in a disorder called

Question 25

Of the three types of skin cancer which are the most likely to metastasize

Question 25 options:

Melanoma

Squamous cell carcinoma

Basal cell carcinoma

All of the above have equal ability to metastasize

Question 26

Cancer of this organ/gland causes the most deaths annually

Question 26 options:

Lung

Breast

Prostate

Bladder

Question 27

The correct order of stages of the cell cycle that a new cell will go through immediately after being produced by mitosis is

Question 27 options:

S, G1, G2, M

G1, G2, M, S

G1, S, G2, M

M, G1, S, G2

Question 28

What is the purpose of DNA replication

Question 28 options:

To copy the information in a gene so that extra protein synthesis can be done

To make an RNA copy of the gene

To provide the cell with extra DNA in case the original gets damaged

To ensure that two cells produced by mitosis have the same genetic information as the parent cell

Question 29

Which of the following is not a function and/or advantage of mitosis

Question 29 options:

It can repair damaged tissue

Growth takes place through mitosis

It can replace old or damaged cells

All of the above are functions and/or advantages

Question 30

Which stage of the cell cycle occurs just after mitosis

Question 30 options:

G1

G2

S

Prophase

Save

Question 31 (1.5 points) Question 31 Unsaved

DNA replication is completed by the end of

Question 31 options:

Prophase

G1

S phase

G2

Question 32

Which of the following is NOT true of DNA

Question 32 options:

Generally double stranded

Stores the cell genetic information

Replicated by DNA polymerase

Contains A, C, U, and G

Question 33

These cell may enter G0 of the cell cycle permanently

Question 33 options:

Hepatocytes

Transformed cells

Neurons

Cells in the digestive system

Question 34

When a primary spermatocyte, goes through meiosis, how many mature sperm will be produced

Question 34 options:

1

2

3

4

Question 35

When a primary oocyte goes through meiosis, how many mature eggs will be produced

Question 35 options:

1

2

3

4

Patient

32 year-old female with a history of poly-substance abuse, including IV drug use, who presented at the ER with fever, abdominal pain, nausea, vomiting, headaches and myalgia (muscle pain). She also had toothache for which she had taken approximately 50 acetaminophen tablets over a 24 hour period. She was transferred to a medical center ER for the acetaminophen overdose.

Physical exam showed patient alert and oriented with normal vital signs. Right upper quadrant pain was noted, as well as mild jaundice.

Diagnostic

Laboratory testing indicated the following liver function tests and other tests:

AST

ALT

GGT

LDH

BUN

Creatinine

Acetaminophen

791 U/liter

1,398 U/liter

166 U/liter

826 U/liter

83 mg/dl

10.1 mg/dl

15µg/ml

Hepatitis A IgM

Hepatitis A IgG

Hepatitis B Surface Antigen

Hepatitis B Surface Antibody

Hepatitis B Core IgM

Hepatitis C Total (IgM/IgG)

Negative

Negative

Negative

Negative

Negative

Positive

Her hospital course was significant for acute renal and liver failure, with improvement after dialysis was performed.

Based on the patient’s history, presenting symptoms and LFT results, which of the following viruses would be most likely to be the problem?

BK virus

JC virus

Hepatitis B or C

CMV

After reviewing the serologic test results, which organism is the causative virus?

Hepatitis B

Hepatitis C

Hepatitis A

Hepatitis D

What are the modes of transmission for this virus? Which was most likely in this case?

Based on how she was infected, would she be at risk for any other viral infections? Which ones?

Why would it be important to determine the genotype of the virus with which she is infected?

If she had received a vaccination for the virus, would this infection have been prevented? Why or why not?

please i need an answer for all of these questions. this is due 10/19.

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