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Author Archives: Anonymous

Which of the following is not a nutrition assessment used by…

Which of the following is not a nutrition assessment used by a trained health care professional?

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Which of the following statements does NOT describe a charac…

Which of the following statements does NOT describe a characteristic of living organisms?

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Which vehicle provides the passageway from the lymphatic sys…

Which vehicle provides the passageway from the lymphatic system to the vascular system?

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If the cytoplasm of a cell is at pH 7, and the mitochondrial…

If the cytoplasm of a cell is at pH 7, and the mitochondrial matrix is at pH 8, then the concentration of H+ions ________.

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What assessment tool is designed to measure how well a diet…

What assessment tool is designed to measure how well a diet meets the recommendations of the Dietary Guidelines?

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A midsagittal section of the body would pass through the____…

A midsagittal section of the body would pass through the___________.

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Which pH of the following is the most alkaline (Basic)?

Which pH of the following is the most alkaline (Basic)?

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The patterns of eating that promote health and provide food…

The patterns of eating that promote health and provide food security for the present population and for future generations is called _______.

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Mrs NS, aged 72 years, weight 56kg, goes to see her GP due t…

Mrs NS, aged 72 years, weight 56kg, goes to see her GP due to a burning sensation when passing urine, she is also feeling a little confused.   Past Medical History: Hypertension, Diabetes Mellitus type 2, Iron Deficiency Anaemia, Epilepsy, Osteoporosis   Current Medicines: Amlodipine 5mg OD, Perindopril 4mg OD, Atorvastatin 20mg ON, Metformin 1g BD, Gliclazide 80mg BD, Ferrous Sulphate 200mg OD, Sodium Valproate 600mg BD, Alendronic Acid 70mg once a week, Adcal D3 II OD Allergies: NKDA   The GP suspects a urinary tract infection (UTI) and asks for a dipstick test. The results are positive for leucocytes and nitrites.   a) Explain the relevance of the dipstick findings in relation to the diagnosis (2 marks)   The GP decides to empirically prescribe amoxicillin 500mg TDS for 3 days. Mrs NS returns 2 days after completing the course feeling more unwell, confused, pain in her back, a raised temperature of 38.5°C and has not been drinking as much. BP 100/72 mmHg HR 106 bpm RR 18 bpm O2 sats 94%   Mrs NS is admitted into hospital.   b) What is the most likely diagnosis of the patient’s infection (1 mark) Day 1 – Mrs NS is started on ciprofloxacin 500mg BD for her infection and naproxen 500mg BD for the pain in her back. c) Comment on the choice of therapy and any changes you may make with your rationale (2 marks)   Day 3 – Urine cultures and sensitivities return showing an extended spectrum B-lactamase (ESBL) producing E.Coli with sensitivity to ertapenem, fosfomycin and pivmecillinam. The registrar initiates treatment with ertapenem 1g once a day IV.   d) Comment on the choice of therapy and any changes you may make with your rationale (2 marks)   Day 4 – Blood results:                    Reference Range Na+    135 (135 – 145 mmol/L) K+       5.0 (3.5 – 5.1 mmol/L) Ur        18 (2.5 – 6.7 mmol/L) SCr     256 (50 – 120 umol/L)     Blood results 3 months ago:                    Reference Range Na+    138 (135 – 145 mmol/L) K+      4.4 (3.5 – 5.1 mmol/L) Ur       5.5 (2.5 – 6.7 mmol/L) SCr     95 (50 – 120 umol/L) e) What are the potential causes of Mrs NS’s Acute Kidney Injury (AKI)? (2 marks)   f) What stage of AKI does Mrs NS have currently? What is the patient’s current creatinine clearance (CrCl)? (2 marks)   g) Propose an initial management plan for treating the AKI and rationale (4 marks)

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What assessment tool is designed to measure how well a diet…

What assessment tool is designed to measure how well a diet meets the recommendations of the Dietary Guidelines?

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