Aquifer Internal Medicine End of Case Questions 2024 A 36-year-old female presents to the emergency department with a one-day history of nausea, dysuria, and right-sided flank pain. She was previously healthy. Temperature is 39.3C (102.7F), pulse is 125 beats/minute, respiratory rate is 20 breaths/minute, and blood pressure is 78/50 mmHg. She receives four liters of normal saline and is started on intravenous (IV) vasopressors and antibiotics. A repeat blood pressure is 88/52 mmHg. What type of shock does this patient most likely have? A. Cardiogenic B. Distributive C. Hypovolemic D. Multifactorial E. Obstructive - ANSWER>>The answer is B. From IM 21. A 72-year-old male presents to the hospital with a two-day history of bright-red blood per rectum. He reports no weight loss, fevers, chills, nausea, vomiting, or diarrhea. He has a history of hypertension, diabetes, hyperlipidemia, and chronic constipation. Temperature is 37.1C (98.8F), pulse is 98 beats/minute, respiratory rate is 20 breaths/minute, and blood pressure is 132/94 mmHg. Abdominal examination reveals slight tenderness in the left-lower quadrant, without guarding or rebound. The remainder of the physical examination is normal. Which of the following is the most likely diagnosis for this patient? A. Colon cancer B. Diverticulosis C. Gastritis D. Inflammatory