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#15350 - 01/12/12 11:05 PM Quiz 38 final
farah Offline
Seasoned Gabber

Registered: 08/09/11
Posts: 47
Loc: tx
Hi, can anyone please help me? I have a lot of questions about quiz 38, some might be silly, but i just really need to get a good grade on this test, im due in a couple of weeks, and i really want to finish this before my new baby is born, i would appreciate any help. here are a few on christine lane.

for the heading at the very top, use
Weston Medical Center
12383 Lewis Street, Garden Grove, CA 99900 right?

type in no specific order, i mean, type as the dr dictates. correct?

1st paragraph: Oxytocin Challenge Test, the O C and T should be capitalize?

2nd paragraph: is it 42 week's of gestation.. or 42 weeks' ?
Glucose Tolerance Test, the G, T and T, should be capitalize?

The patient underwent cesarean section with an estimated blood loss of: 600 cc or mL? or estimated blood loss of 600 cc or mL?

FOLLOW-UP: Return in four weeks to a Family Planning Clinic... is this sentence correct?

and should i make a second page just for the initials, and dates, and lines? i dont have any space on the 1st pg, or how should i do it???

thank you in advance!!!

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#15352 - 01/12/12 11:30 PM Re: Quiz 38 final [Re: farah]
farah Offline
Seasoned Gabber

Registered: 08/09/11
Posts: 47
Loc: tx
my questions on roberto mores.

PRIMARY PROCEDURE
....DONOR'S SITE, RIGHT THIGH.

This is a 37-year-old Hispanic male who sustained apparent third or 3rd .....?

FINDINGS AND PROCEDURE
The donor's skin or donor skin??

A burrito dressing or Burrito dressing?

three seconds being the refill time.. ? or three sec.?

epinephrine-soaked Telfa is this correct?

Red Ribbon Robinson or red ribbon Robinson?

we are suppose to use mL on the final right? and not cc

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#15353 - 01/12/12 11:41 PM Re: Quiz 38 final [Re: farah]
farah Offline
Seasoned Gabber

Registered: 08/09/11
Posts: 47
Loc: tx
questions on keith avertig

DISCHARGE DIAGNOSIS
Acquired immunodeficiency syndrome. Or AIDS???

PAST MEDICAL HISTORY: He had an episode of PCP pneumonia four months prior to this admission and has been under AZT protocol.. is this right?

HOSPITAL COURSE: ....The patient has cervical, axillary and inguinal adenopathy unchanged times one year.

The patient also denied a history of homosexuality, prostitution or intervenous drug abuse or transfusion. is this sentence correct?

The patient has also had recurrent bouts of pneumocystis or Pneumocystis??

...CSF showerd cryptococcal titer???

Blood cultures were positive for ?? and urine culture were positive for ???

LABORATORY DATA: T-cells showed WBC of 7,400, T4 162, T8 2,572, CBC, RBC for WBC 3,000 at the lumbar or Lumbar? puncture. The ink stain was positive for Cryptococcus or cryptococcus. Acid-fast culture and Gram stain or stains were negative.

DISCHARGE MEDICATIONS:.. pentamidine inhaler are the P and I capitals? is amphotericin B capitalize?

thank you!

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#15354 - 01/13/12 12:17 AM Re: Quiz 38 final [Re: farah]
farah Offline
Seasoned Gabber

Registered: 08/09/11
Posts: 47
Loc: tx
questions on jack serry
PRIMARY PROCEDURE
... ARTERY BYPASS GRAFT WITH IN SITU OR IN SITE SAPHENOUS VEIN

FINDINGS AND PROCEDURE
umbilical tape, should u and t be capitalize?

3nd paragraph
Having completed this, Dr. Snow was exposing the saphenous vein distally ??? just above the ankle using a sharp incision ... This was used to mobilize the saphenous vein from the ankle up to the proximal ??? region.

4th paragraph
Attention was then placed, with self-retaining tractors?? or retractors, im sure its tractors.

whenever hse dictates tib, we whould type tibia, right?
at the end of this paragraph, ...
,but the artery was dissected free using sharp dissection placed on vesolups?? ????? and appeared soft.

5th paragraph
7,500 units of Heparin..
The saphenous vein proximally was taken at the bulb by placing a right-ankle 0r right-angle clamp and then transecting it. The proximal rib-net??...
The back bleeding was controlled by placing a small Bull-Dog? clamp??
The vein was insoected and found to habe no valves in the bulb or ball junction? i think its bulb. The SFA was then inclamped?? proximally and distally.
A side-to-end anastomosis of the SFA.. is this correct?

6th paragraph
having completed that, it was backbled? from the distal SFA...

7th paragraph
At that time, the in site? in situ? valvulotomies or valvulotomes?
The ??? valves in several areas. This was followed then by #3 which after returning the #3 there was ??? bleeding seen in the distal SFA.

8th paragraph
With some tension on the vessel ?? and arteriotomy was performed....
Prior to completion of the anastomosis the internal occluder was removed with a lot of good back-bleeding?? The graft was ??? and the anastomosis completed with slight pulsations present at that time.

9th paragraph
The endoscope? or angioscope? was introduced...
There were no ?? valves seen at this time.

11th paragraph
The prvious branches were clipped and ligated with 4-0 silk. is this sentence correct?
the foot appeared to have increased ?? than the preoperative cyanosis that had been noted.
Staples were placed to the skin, Sulfa and dried sterile dressing and Kerlix were placed. is this right?
the patient was then awakened from general anesthetic and taken to the Surgical Intensive Care Unit for further postoperative care in satisfactory condition.

i know this is a hard one, but i really appreaciate it. thank you!

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#15355 - 01/13/12 12:38 AM Re: Quiz 38 final [Re: farah]
farah Offline
Seasoned Gabber

Registered: 08/09/11
Posts: 47
Loc: tx
questions on george klein

should i flag that there was no reffering physician?

history of present illness:
This is a 24-year-old black male with Marfan syndrome, diagnosed 11-years-ago???...
Excertion will almost always bring it out, although it also occurs at rest and with anxiety. is this right?

PAST HISTORY: ... Operations: Exploratory laparotomy two years prior to the admission...
Medications: Diltiazem 30 mg t.i.d., Inderal 20 mg b.i.d., ??? motrin? Allergies: THE PATIENT IS ALLERGIC TO PENICILLIN WITH HISTORY OF RASH.

Is social history all capitasls and its own paragraph?
is family history all capitals and its own paragraph too?

PHYSICAL EXAMINATION

CARDIAC.. There is a 1+ midsystolic ??? when patient is turned to 30 degrees.

CHEST: Chest CT. Aneurysm present without evidence of dissection. is this correct?

ASSESSMENT AND PLAN
1. Recurrent severe chest pain attributed to mitrial wall ?? increasing ... ... and continue diltiazem as symptoms ???
2. The abdomen ??? EKG suggests...

other than not being sure about punctuation, those are all my questions, i know they are a lot, but please, any help would be great. and if i could send it to someone to proof read it would be amazing. thank you so much!

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