After hearing negative stereotypes about people with mental…
After hearing negative stereotypes about people with mental illness, Maya begins to believe those stereotypes apply to herself. She thinks she is incapable of succeeding and avoids applying for jobs or seeking counseling. Which manifestation of self-stigma is best illustrated?
Read DetailsHow many moles of water is in 45.0 g of water? Write your an…
How many moles of water is in 45.0 g of water? Write your answer in the space below. (After you submit this exam, scan your work on the scratch paper, and submit it on Exam 2 Work module within 5 minutes after the submission of this test. Label all work with the appropriate question number.)
Read DetailsA 73-year-old female with a history of HTN, CAD s/p CABG, MR…
A 73-year-old female with a history of HTN, CAD s/p CABG, MR s/p MVR, HFrEF, AF, and ESRD has had 6 admissions to the hospital for acute on chronic systolic heart failure over the past year. Her cardiologist decided to perform a right heart catheterization to evaluate her filling pressures and cardiac output. Her pulmonary capillary wedge pressure (PCWP) resulted at 27 mmHg. All of the following are causes of an elevated PCWP EXCEPT.
Read DetailsA 77-year-old female with a history of HTN, CAD s/p PCI, HFp…
A 77-year-old female with a history of HTN, CAD s/p PCI, HFpEF, and COPD was admitted with acute on chronic hypoxic respiratory failure secondary to community acquired pneumonia. Despite treatment with antibiotics the patient developed worsening respiratory failure requiring intubation and mechanical ventilation in the ICU. During her initial work-up in the ED a troponin was drawn which came back at 148 ng/L. It continued to uptrend as her condition worsened and plateaued at 256 ng/L before starting to downtrend. All of the following may be causes of a type II MI related to “demand ischemia” EXCEPT.
Read DetailsA 92-year-old female with a history of HTN presents to the E…
A 92-year-old female with a history of HTN presents to the ED with syncope. She is found to have a HR of 35 beats per minute with a BP of 88/44 mmHg. She endorses lightheadedness and dizziness, as well as some nausea. Dopamine is ordered for positive chronotropy.At what dose does dopamine stimulate beta 1 adrenergic receptors increasing heart rate and myocardial contractility?
Read DetailsAn 88-year-old female with a history of sick sinus syndrome…
An 88-year-old female with a history of sick sinus syndrome with a tachy-brady pattern presents to the ED with fatigue, weakness, and near-syncope. While having periods of bradycardia her blood pressure drops to 68/42 mmHg. A temporary transvenous pacemaker wire is inserted. Which of the following temporary pacemaker settings would be considered a “sensing” mode?
Read DetailsAn 89-year-old male with a history of HTN, hypertrophic obst…
An 89-year-old male with a history of HTN, hypertrophic obstructive cardiomyopathy (HOCM), and critical aortic stenosis is being considered for a transcatheter aortic valve replacement (TAVR). Prior to his procedure he presents to the ED with shortness of breath, fever, lightheadedness, and overall fatigue. CXR shows evidence of a right lower lobe pneumonia. Vital signs are as follows: temp 101.8, HR 129, RR 27, BP 82/50 mmHg, and O2 sats of 84% on RA which improve to 93% on 4L NC. He is having frequent ectopy on telemetry with a few episodes of non-sustained ventricular tachycardia. Which of the following is the BEST choice for vasopressor support given his history and current clinical situation?
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