Buy Thermoregulatory Disorders Questions

Buy Thermoregulatory Disorders Questions
Buy Thermoregulatory Disorders Questions
1. A 35-year-old male is brought to the emergency department and is found to be diaphoretic,
clammy, and agitated. He has altered mental status, slurred speech, and a core temperature
40°C. He was playing basketball outdoors prior. After further workup, the diagnosis of
exertional heat stroke is made. Which among the following does NOT have a role in treatment?
A. Antipyretics
B. Cooling blankets
C. Immersion in ice water
D. Evaporative cooling
2. A 22-year-old female with no significant past medical or surgical history is admitted to the
intensive care unit (ICU) with worsening respiratory failure. She was being treated on the floor
for pneumonia and is receiving noninvasive ventilation. On admission to ICU, she is found to be
tachypneic with increasing work of breathing, and her mentation is altered. On airway
examination, both thyromental distance and mouth opening are more than 3 fingerbreadth and
her Mallampati score is 2. You decide to institute invasive mechanical ventilation. Once
equipment and personnel are ready, propofol and succinylcholine are administered to facilitate
endotracheal intubation. After 90 seconds, direct laryngoscopy is attempted, but you have
difficulty opening her mouth and note marked masseter muscle rigidity.
Which among the following conditions is known to be associated with this presentation?
A. Neuroleptic malignant syndrome (NMS)
B. Malignant hyperthermia (MH)
C. Hypokalemic periodic paralysis
D. Temporomandibular joint dysfunction
Buy Thermoregulatory Disorders Questions
3. A 48-year-old gentleman with no significant past medical history underwent uncomplicated
Whipple procedure for pancreatic cancer. On postoperative day 1, laboratory data are notable
for a white blood cell count of 19 000/ μL. His abdominal wound appears mildly erythematous
and appropriately tender, with no drainage. Auscultation reveals some crackles at the bases
bilaterally. His heart rate is 100 beats/min, respiratory rate 20/min, pulse oximetry 97% on
room air, and temperature of 38.4°C. Which of the following is the most likely cause of fever in
this patient?
A. Surgical site infection
B. Acute deep venous thrombosis
C. Postoperative inflammatory response
D. Urinary tract infection
E. Atelectasis
4. A 24-year-old male with past medical history significant for gastroesophageal reflux disease
(GERD), orthostatic hypotension, history of smoking and alcohol use, and newly diagnosed
bipolar disorder was admitted to the ICU from emergency department. He presents with
tachycardia, muscle rigidity, labile blood pressure, fever, lactate of 8 mmol/L, and creatine
phosphokinase of 74 000 IU/Lin the setting of being found down at a fraternity party. Blood
alcohol levels were consistent with intoxication. Urine toxicology screen was negative.
Nonspecific electrocardiogram (EKG) changes were noted. What drug or medication is most
likely to be responsible for his presentation?
A. Olanzapine
B. Pantoprazole
C. Alcohol intoxication
D. Sertraline
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