I Human, Rebecca Fields Case Study
MAY 2023 questions and answers
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GRADE.
I Human .
Rebecca Fields
History: 23 questionsrequired by expert.
Physical Exam: 15 required
Vitalsigns, SPo2, Spco, Etco2,
Mental status
Skin, inspectskin overall
HEENT: inspect mouth, pharynx, look in ears with otoscope, inspect eyes, look up nostrils
Neck: palpate neck, evaluate range of motion
Lymphatic: palpate all lymph nodes
Chest wall and lungs: auscultate lungs
Abdomen: palpate abdomen
Key findings:
Sore throat----- MSAP
Fever------------related
Headache ------related
Pharyngeal erythema and exudate- related
Tender cervical lymphadenopathy – related
Oral contraceptive use- unrelated
Family history of hypertension – unknown
Infectious contact per history- unknown
Infectious mono at 150 resolved
Problem statement: Expert:
This 23-year-old woman presents with acute pharyngitis associated with fever, headache and
tender cervical lymphadenopathy. She has no significant medical history. Physical exam is
notable fortemperature elevation (101.5), posterior pharyngeal erythema, mild to moderate
tonsillar enlargement, prominent tonsillar exudate, and tender bilateral lymphadenopathy.
Body system list: respiratory
Differential Dx: Influenza, group A strep throat, pharyngitis (N. gonorrhea), Pharyngitis (group
C and G streptococci, peritonsillar abscess
Tests: rapid strep antigen test, throat culture, influenza swab
Management Plan: Tx choice for GAS pharyngitis: amoxicillin or PCN X 10 days.
Analgesics and NSAIDS
Exses: 1. The most common site of nosebleed is…
2. A 42 year old woman presentsto ED with a complaint ofsevere right eye pain. Symptoms are
associated with nausea and vomiting, and the eye is injected. Your first action is to…
3. Bacterialstrep pharyngitis is associated with the following finding…
4. You are completing eye exam but are having difficulty visualizing the macula. You tell the
patient to..
5. A 71-year-old female presents with vertigo, tinnitus, and hearing loss. You narrow your
differential to Meniere’s disease or benign paroxysmal vertigo. Your final diagnosis is Meniere’s
disease is based on a presence of. [Show Less]