AQUIFER INTERNAL MEDICINE END OF CASE QUESTIONS NEW VERSION UPDATE ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) 100% PASS SOLUTION / ALREADY GRADED A+

AQUIFER INTERNAL MEDICINE END OF CASE QUESTIONS NEW VERSION UPDATE ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) 100% PASS SOLUTION / ALREADY GRADED A+ 
A 52-year-old female comes to the center to examine weight reduction. Her
clinical history is critical for heftiness; her weight file (BMI) is 41; hypertension;
hyperlipidemia; and obstructive rest apnea. She realizes that horrible weight will
help her hypertension and hyperlipidemia, however she doesn't feel like these
things annoy her. Her main other concern is weakness; she doesn't utilize her
constant positive aviation route pressure (CPAP) machine, since she could do
without the cover. What extra data might you at any point give her to assist with
spurring her weight reduction?
A. Her obstructive rest apnea might improve with weight reduction.
B. Her chance of cardiovascular sickness is like that of a female with an
ordinary BMI.
C. Obesity is mostly a restorative issue.
D. Surgery ought to be considered before diet and exercise. - ANSWER>>The
answer is A. From IM 16.
Ms. Tsvetanova is a 42-year-old female with no critical past clinical history
introducing to lay out care with her essential consideration doctor. On survey, she
noticed a weight gain of 14 kg (30 lbs) throughout the course of recent years. She
credits this generally to her inactive way of life, eating, and trouble with segment
control. She fills in as a secretary for a nearby doctor's office and gos through the
vast majority of her day sitting. She denies obstruction, low energy, cold
prejudice, muscle shortcoming, discouraged temperament, simple bruisability, or
other skin changes. On actual test, important bodily functions uncover
temperature is 36.8 C (98.2 F), beat is 82 beats/minute, respiratory rate is 12
breaths/minute, pulse is 130/82 mmHg, weight is 81.6 kg (180 lbs), and level is
163 cm (64 in). The rest of her actual test is ordinary. Which of the accompanying
research facility tests is generally suitable for the assessment of this patient?
A. 24-hour uri - ANSWER>>The answer is D. From IM 16.
A 56-year-old female was determined to have left-lower-curve pneumonia. She
was hospitalized and has finished four days of ceftriaxone and azithromycin. She
has a background marked by congestive cardiovascular breakdown (CHF),
however was euvolemic on confirmation. You are assessing her on emergency
clinic day five. She keeps on grumbling of hack and dyspnea. Important bodily
functions show temperature is 38.0 C (100.4 F), beat is 90 beats/minute,
respiratory rate is 24 breaths/minute, pulse is 122/78 mmHg, and oxygen
immersion is 92% on four liters/minute. Her test is huge for faint snaps and
diminished breath sounds in the lower-left-lung fields. Her jugular venous strain
(JVP) is roughly 7 cm, and there is a hint of pedal edema reciprocally. A chest
radiograph shows a steady left-lower-curve invade with a new, moderate leftpleural emanation. Which of coming up next is the fitting subsequent stage in
administration?
A. Chest registered tomogra - ANSWER>>The answer is B. From IM 29.
A 65-year-old male presents to the crisis office with dyspnea, hack, and fever for
multi week. His previous clinical history is huge for hypertension. On test, his
temperature is 38.5 C (101.3 F), beat is 100 beats/minute, respiratory rate is 24
breaths/minute, pulse is 140/80 mmHg, and oxygen immersion is 88% on room
air, expanding to 92% on four liters of oxygen by nasal cannula. The patient seems
awkward and is utilizing embellishment muscles of breath. Breath sounds are
diminished on the passed on side with bluntness to percussion on the left. Lab
values incorporate a white platelet (WBC) count of 15 cells x 103/μL hematocrit
(Hct) of 45%, platelet count of 150,000/µL, and a worldwide standardized
proportion (INR) of 1.1. Chest radiograph shows a huge left-sided pleural
emanation. He is given wide range anti-microbials. Which of coming up next is the
most proper following stage in administration? - ANSWER>>The answer is B. From
IM 29

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