A 52-year-old male presents to the emergency department with confusion and lethargy. His past medical history includes hypertension and diabetes mellitus. The following laboratory values are obtained: Sodium (Na⁺): 140 mEq/L Chloride (Cl⁻): 100 mEq/L Bicarbonate (HCO₃⁻): 24 mEq/L Blood Urea Nitrogen (BUN): 18 mg/dL Creatinine: 1.0 mg/dL Glucose: 110 mg/dL Calcium: 9.4 mg/dL What is this patient’s anion gap?

Mr. Hall 6’ 2” and is being mechanically ventilated due to respiratory failure and complicated by ARDS. The following are the patients ventilator parameters and abg results:Mode    A/C                        Total rate             12                       pH            7.22Rate      12 breaths/min      PIP                      45 cm H2O       PaCO2      63 torrVT         550 ml                    Plat                      40 cm H2O       PaO2         51 torrPEEP    0 cm H2O                                                                       HCO3       26 mEq/LFIO2      0.80                                                                               BE            +2                                                                                                     SaO2         83%                                                                                                     Hb            15 g/dlWhat is this patients CaO2?

Which is the best day of the month to examine the female breasts for pathology?

95. [95] Labia Majora 96. [96] Labia Minora 97. [97] Clitoris 98. [98] Bartholin Duct Opening 99. [99] Skene’s Gland 100. [100] Vaginal Introitus 101. [101] Anus 102. [102] Fourchette 103. [103] Perineum 104. [104] Urethra

Deep tendon reflexes are graded on a 0 to 4+ scale.  If a patient’s deep tendon reflexes are 4+, what assessment is that on the grading scale?            

Which part of the eye is assessed for paleness related to iron deficiency anemia?

For which chronic problem are Phalen’s test and Tinel’s sign used to assess numbness and tingling in the hand?

What joint is typically involved in osteoarthritis?

In the normal aging woman, which of the following could be a probable cause for increasing pain during intercourse?

To auscultate the apex (the top) of the lungs, the stethoscope is placed in which of the following locations?