Msn 621 Final Exam Questions With Complete Solutions

A 17-year-old male presents with a two-day history of fever, runny nose, and cough productive of clear sputum. His past medical history is unremarkable, and he takes no medication. His blood pressure is 110/70 mmHg, respiratory rate 16 breaths per minute, heart rate 102 beats per minute, temperature 101.8 F (38.8 C), and oxygen saturation 98% on room air. The lung examination demonstrates clear breath sounds bilaterally. In addition to an antipyretic, what is the most appropriate treatment for this patient? {Ans: Guafenesin}A 34-year-old Asian woman reported a history of losing weight and cough over a period of 5 months. On examination, she was anemic and on auscultation left apical crackles were noted. Her chest x-ray revealed left apical shadowing with cavitation. What is the next stage in her management? {Ans: Tuberculin skin test and sputum culture}A 49-year-old female (G2 P2) with a history of fibrocystic breast disease presented with a left breast mass that she found a month ago on self-examination. The patient faithfully had obtained routine mammograms since age 40. This year, after reporting the mass and with spot films obtained as recommended by the radiologist, a new cluster of microcalcifications was identified on the report: