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  #1  
Old 01-25-2013, 06:16 PM
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A 68-year-old male presents to your office for routine follow-up care. He reports that he is feeling well and has no complaints. His past medical history is significant for hypertension and hypercholesterolemia. He continues to smoke a pack of cigarettes daily. He is taking chlorthalidone 25 mg daily, atenolol 25 mg daily, and pravastatin 40 mg nightly. Blood pressure is 133/85, and heart rate is 66. Cardiac and pulmonary examinations are unremarkable. A pulsatile abdominal mass is felt just to the left of the umbilicus and measures approximately 4 cm. You confirm the diagnosis of abdominal aortic aneurysm by CT imaging. It is located infrarenally and measures 4.5 cm. All the following are true about the patient?s diagnosis except :

A. The 5-year risk of rupture of an aneurysm of this size is 1 to 2%.
B. Surgical or endovascular intervention is warranted because of the size of the aneurysm.
C. Infrarenal endovascular stent placement is an option if the aneurysm experiences continued growth in light of the location of the aneurysm infrarenally.
D. Surgical or endovascular intervention is warranted
if the patient develops symptoms of recurrent abdominal or back pain.
E. Surgical or endovascular intervention is warranted if the aneurysm expands beyond 5.5 cm.

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Old 01-28-2013, 10:21 AM
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A?
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Old 01-28-2013, 10:29 AM
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My thoughts were B. As surgery would only be warrented if it is over 5.5 cm. ? At least that is where I was leaning towards. ( no this is not homework )
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Old 01-28-2013, 06:24 PM
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LOL-this doesn't sound very fun at all! I think A as well.
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Old 01-29-2013, 05:13 AM
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All ring true although B they would not do surgery at this time due to the size.
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Old 01-29-2013, 06:59 AM
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Ok, question # 2

Food allergy is an example of?

A. Type I hypersensitivity.
B. Type II hypersensitivity.
C. Type III hypersensitivity.
D. Type IV hypersensitivity.
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Old 01-29-2013, 07:22 AM
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B is false because surgery is not done until the aneurysm measures greater than > 5.5

I think food allergy can be different levels of hypersensitivity from mild to severe (peanuts causing anaphylaxis), but in general food allergies are relatively minor being Type I Hypersensitivity?

I like this game Meli, but you do have the correct answers?
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Old 01-29-2013, 07:48 AM
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Do i have to answer from memory or am I allowed to online cheat, er, I mean search?
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Old 01-29-2013, 10:07 AM
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Quote:
Originally Posted by crunch View Post
Do i have to answer from memory or am I allowed to online cheat, er, I mean search?

either way crunch, I just thought since we are a nursing site might be funish~educational to joggle our memory and debate answers.
DutchgirlRN likes this.
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Old 01-31-2013, 09:15 AM
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Answer to question #2 is A.



Questions #3

Which of the following blood-vessel is not surrounded by smooth muscle cells?
a. artery
b. arteriole
c. capillary
d. venule
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