Question

Bacteria from a UTI that travels to the kidneys via the ureter can cause _____

Appendicitis

Pyelonephritis

Kidney stones

Gallstones

An elderly patient states that she feels very faint anytime she takes her blood pressure medication. Is this an example of a true allergic reaction or an adverse reaction?

Allergic Reaction

Adverse Reaction

Patients who are bradycardic are at risk of passing out (syncope). What is likely their heart rate?

40 bpm

90 bpm

100 bpm

110 bpm

Where would you first put a physical exam finding of abdominal tenderness and a positive urine pregnancy result?

Subjective

Objective

Assessment

Plan

Finish this statement: Pertinent positives point the doctor ________.

Leftward

Away from a likely diagnosis

Toward a likely diagnosis

Downward

Answer 1

Bacteria from a UTI that travels to the kidneys via the ureter can cause _____

• Answer -Pyelonephritis
• Rationale-It is the Inflammation of kidney specifically due to bacteria and most commoon cause is ascending infection via urinary tract.
• Appendicitis is incorrect because it is inflammation of appendix due to blockage and bacterial growth ,most often from  fecalith
• Kidney stones is incorrect because it is due to the presence of crystal forming substances in urine and it is not due to bacteria from UTI.
• Gallstones is incorrect because it is due to accumulation bile in gall bladder .

An elderly patient states that she feels very faint anytime she takes her blood pressure medication. Is this an example of a true allergic reaction or an adverse reaction?

• Answer- Adverse Reaction
• Rationale-Adverse reaction are the common and expected effects after taking  a drug.
• Allergic Reaction- is incorrect because these are immune mediated response in the body and most common symptoms are itching and rashes after taking a drug

Patients who are bradycardic are at risk of passing out (syncope). What is likely their heart rate?

• Answer-40 bpm
• Rationale- A heart rate below 60bpm is called as bradycardia .
• 90 bpm is incorrect because it is within normal range of HR for an adult (60bpm-100bpm)
• 100 bpm is incorrect because it is within normal range of HR for an adult.
• 110 bpm is incorrect because it is called as tachycardia