Question 1
Scenario 1:
A 38 year old female patient with a history of corticosteroid use for her autoimmune disorder, presents to the office with a cc of hip pain following a slip and fall the previous week. Examination reveals edema and hematoma in the right lateral femoral region with pain with palpation and manipulation. The doctor orders radiographic testing of the region and blood work.
The blood work comes back with the following results:
Chloride: 100 mEq/L
Potassium: 4.6 mEq/L
Sodium: 138 mEq/L
Calcium: 7.2 mg/dl
Magnesium: 1.9 mg/dl
Phosphorus: 3.0 mg/dl
Blood results also reported very low levels of Vitamin D. The radiograph reported decreased bone density in the imaged femur and ilium. There was no evidence of fracture. The doctor diagnosed this patient with contusion of the gluteal region and osteopenia.
Based on the information provide above in Scenario 1 -
What is this patient’s lab results is consistent with the development of osteopenia?
Question 2
Scenario 1:
A 38 year old female patient with a history of corticosteroid use for her autoimmune disorder, presents to the office with a cc of hip pain following a slip and fall the previous week. Examination reveals edema and hematoma in the right lateral femoral region with pain with palpation and manipulation. The doctor orders radiographic testing of the region and blood work.
The blood work comes back with the following results:
Chloride: 100 mEq/L
Potassium: 4.6 mEq/L
Sodium: 138 mEq/L
Calcium: 7.2 mg/dl
Magnesium: 1.9 mg/dl
Phosphorus: 3.0 mg/dl
Blood results also reported very low levels of Vitamin D. The radiograph reported decreased bone density in the imaged femur and ilium. There was no evidence of fracture. The doctor diagnosed this patient with contusion of the gluteal region and osteopenia.
Based on the information provide above in Scenario 1 -
How does the prolonged use corticosteroids impact the bone? Question 3
Scenario 1:
A 38 year old female patient with a history of corticosteroid use for her autoimmune disorder, presents to the office with a cc of hip pain following a slip and fall the previous week. Examination reveals edema and hematoma in the right lateral femoral region with pain with palpation and manipulation. The doctor orders radiographic testing of the region and blood work.
The blood work comes back with the following results:
Chloride: 100 mEq/L
Potassium: 4.6 mEq/L
Sodium: 138 mEq/L
Calcium: 7.2 mg/dl
Magnesium: 1.9 mg/dl
Phosphorus: 3.0 mg/dl
Blood results also reported very low levels of Vitamin D. The radiograph reported decreased bone density in the imaged femur and ilium. There was no evidence of fracture. The doctor diagnosed this patient with contusion of the gluteal region and osteopenia.
Based on the information provide above in Scenario 1 -
Following the diagnosis, the doctor prescribed additional medications to the patient. Below is updated list of the patient’s medications. For each medication, give the drug class and, based on this patient’s history, briefly explain why the patient is taking the medication.
Tylenol
Drug Class:
Reasoning:
Question 4
Scenario 1:
A 38 year old female patient with a history of corticosteroid use for her autoimmune disorder, presents to the office with a cc of hip pain following a slip and fall the previous week. Examination reveals edema and hematoma in the right lateral femoral region with pain with palpation and manipulation. The doctor orders radiographic testing of the region and blood work.
The blood work comes back with the following results:
Chloride: 100 mEq/L
Potassium: 4.6 mEq/L
Sodium: 138 mEq/L
Calcium: 7.2 mg/dl
Magnesium: 1.9 mg/dl
Phosphorus: 3.0 mg/dl
Blood results also reported very low levels of Vitamin D. The radiograph reported decreased bone density in the imaged femur and ilium. There was no evidence of fracture. The doctor diagnosed this patient with contusion of the gluteal region and osteopenia.
Based on the information provide above in Scenario 1 -
Following the diagnosis, the doctor prescribed additional medications to the patient. Below is updated list of the patient’s medications. For each medication, give the drug class and, based on this patient’s history, briefly explain why the patient is taking the medication.
Citracal + D
Drug Class:
Reasoning:
Question 5
Scenario 1:
A 38 year old female patient with a history of corticosteroid use for her autoimmune disorder, presents to the office with a cc of hip pain following a slip and fall the previous week. Examination reveals edema and hematoma in the right lateral femoral region with pain with palpation and manipulation. The doctor orders radiographic testing of the region and blood work.
The blood work comes back with the following results:
Chloride: 100 mEq/L
Potassium: 4.6 mEq/L
Sodium: 138 mEq/L
Calcium: 7.2 mg/dl
Magnesium: 1.9 mg/dl
Phosphorus: 3.0 mg/dl
Blood results also reported very low levels of Vitamin D. The radiograph reported decreased bone density in the imaged femur and ilium. There was no evidence of fracture. The doctor diagnosed this patient with contusion of the gluteal region and osteopenia.
Based on the information provide above in Scenario 1 -
Following the diagnosis, the doctor prescribed additional medications to the patient. Below is updated list of the patient’s medications. For each medication, give the drug class and, based on this patient’s history, briefly explain why the patient is taking the medication.
Prednisone
Drug Class:
Reasoning:
Question 6
Scenario 2:
A 25 year old male patient presents to the office with a cc of left arm pain and generalized malaise of 1 week duration following a dirt bike accident. Laceration of skin on dorsum of left forearm with erythema, edema, and the presence of purulent discharge from wound. Patient was alert. Temperature and respirations were elevated. Wound was irrigated, swabbed, and injected with antibiotic before being dressed and bandaged. The doctor prescribed medications listed below.
Culture results came back positive for gram-positive bacteria Staphylococcus. Patient was instructed to follow medication therapy as prescribed and to follow up with doctor if pain, redness, and/or discharge in arm worsened or did not subside.
Based on the information provide above in Scenario 2
If this patient’s WBC differential was taken, which cell would likely be elevated and why?
Question 7
Scenario 2:
A 25 year old male patient presents to the office with a cc of left arm pain and generalized malaise of 1 week duration following a dirt bike accident. Laceration of skin on dorsum of left forearm with erythema, edema, and the presence of purulent discharge from wound. Patient was alert. Temperature and respirations were elevated. Wound was irrigated, swabbed, and injected with antibiotic before being dressed and bandaged. The doctor prescribed medications listed below.
Culture results came back positive for gram-positive bacteria Staphylococcus. Patient was instructed to follow medication therapy as prescribed and to follow up with doctor if pain, redness, and/or discharge in arm worsened or did not subside.
Based on the information provide above in Scenario 2
Identify specific characteristics in the above description of this patient’s wound and then explain how these characteristics are associated with the body’s response to the infection. Question 8
Scenario 2:
A 25 year old male patient presents to the office with a cc of left arm pain and generalized malaise of 1 week duration following a dirt bike accident. Laceration of skin on dorsum of left forearm with erythema, edema, and the presence of purulent discharge from wound. Patient was alert. Temperature and respirations were elevated. Wound was irrigated, swabbed, and injected with antibiotic before being dressed and bandaged. The doctor prescribed medications listed below.
Culture results came back positive for gram-positive bacteria Staphylococcus. Patient was instructed to follow medication therapy as prescribed and to follow up with doctor if pain, redness, and/or discharge in arm worsened or did not subside.
Based on the information provide above in Scenario 2
The doctor medications prescribed to the patient are listed below. For each medication, give the drug class and, and briefly explain why the patient is taking the medication based on this scenario.
Erythromycin
Drug Class:
Reasoning: Question 9
Scenario 2:
A 25 year old male patient presents to the office with a cc of left arm pain and generalized malaise of 1 week duration following a dirt bike accident. Laceration of skin on dorsum of left forearm with erythema, edema, and the presence of purulent discharge from wound. Patient was alert. Temperature and respirations were elevated. Wound was irrigated, swabbed, and injected with antibiotic before being dressed and bandaged. The doctor prescribed medications listed below.
Culture results came back positive for gram-positive bacteria Staphylococcus. Patient was instructed to follow medication therapy as prescribed and to follow up with doctor if pain, redness, and/or discharge in arm worsened or did not subside.
Based on the information provide above in Scenario 2
The doctor medications prescribed to the patient are listed below. For each medication, give the drug class and, and briefly explain why the patient is taking the medication based on this scenario.
Topical bacitracin
Drug Class:
Reasoning:
10 points
Question 10
Scenario 2:
A 25 year old male patient presents to the office with a cc of left arm pain and generalized malaise of 1 week duration following a dirt bike accident. Laceration of skin on dorsum of left forearm with erythema, edema, and the presence of purulent discharge from wound. Patient was alert. Temperature and respirations were elevated. Wound was irrigated, swabbed, and injected with antibiotic before being dressed and bandaged. The doctor prescribed medications listed below.
Culture results came back positive for gram-positive bacteria Staphylococcus. Patient was instructed to follow medication therapy as prescribed and to follow up with doctor if pain, redness, and/or discharge in arm worsened or did not subside.
Based on the information provide above in Scenario 2
Explain why the doctor did not prescribe antipyretic to this patient.