A patient presents in the emergency department (ED) with fever, chills, general malaise, and mild ventilatory distress. The patient has been in a long-term care center for the past 6 months and is currently producing thick, yellow sputum. Which of the following should the respiratory therapist do?

During the administration of an aerosol treatment, the patient’s respiratory rate drops from 15 breaths/min to 6 breaths/min. Identify this breathing pattern.

A patient is brought into the ER with chest pain. The physician is having difficulty confirming the patient’s diagnosis through an ECG. Blood results show an elevated level of CPK-2. What can the physician suspect after reviewing the blood work?

You are the clinician at the student-health center at a large university. Josh, a 19-year-old male college student with a history of chronic migraines, has been experiencing a headache and vomiting for about 24 hours. His roommate and friends have not been ill. He and his roommate just returned a day ago, from a 3 day hiking trip to Washington State with his Labrador retriever. His roommate reports that he brought Josh to the clinic because, “he isn’t acting right this morning.”  Your exam reveals the following: altered mental status, headache, and vomiting. While having Josh lie flat on his back, you flex the thigh so that it is at a right angle to the trunk (see image below). You note severe hamstring stiffness causing an inability to straighten the leg due to severe pain. Which of the following is the most likely differential diagnosis?  

Tony, an advanced practice nurse, is conducting a telehealth virtual exam.  Tony instructs the 65-year old male patient to sit in a chair and to perform the following maneuvers: Extend his left leg and pull his left toes toward his body.  Next, tuck his chin down to touch his chest. If pain is elicited in the patient’s left buttock and leg, then this could indicate:

A person who gets hit on the back of the head might suffer injury to which of these bones?  

Joy, a 32-year-old hairdresser presents to the primary care clinic with complaints of pain and stiffness in her hands. Seven months ago, Joy began noticing stiffness in both hands in the morning that is now lasting “longer and longer.” Stiffness now lasts more than 1 hour every morning and includes hands, wrists and ankles. She also has increasing difficulty standing for long periods at work or at home due to foot and ankle pain. She has been taking ibuprofen 800mg 3 times daily and finds it helps her get through her day with less pain and stiffness. Physical examination of all of Joy’s joints demonstrate that many of the joints in the hands and feet are tender, warm and swollen bilaterally. Which of the following tests is most specific to make the likely differential diagnosis for Joy?

Hugo, a 48-year-old male, is in the primary care office today with his wife of 22 years. The patient reports having a resting tremor in his right hand and some stiffness in the right arm for over a year now. He thought the tremors were related to nerves and would eventually resolve on its’ own. He also doesn’t like going to the doctor and his wife finally convinced him to make the appointment today. On inspection you notice a pill-rolling movement in his right hand at rest that resolves with active movement of the hand.  On further inspection, relative slowness of fine rapid movements of the right hand are noted along with rigidity to right arm. Which of the following diagnostics will you order as a part of his differential diagnosis workup? (choose all which apply)

Identify the fracture type:  

An eighty-year-old woman has a bent-over stance with a noticeable hump back. Along with osteoporosis, which condition is indicated?