USMLE Forum Archives - USMLE Step 1 - mpp29
mpp29
babbu5508 - 05-31-11 23:46
The patient is successfully stabilized and returns home. She is admitted to a nursing home three months later. One day, her physician finds her somnolent and difficult to arouse. The Health Care Power of Attorney (HCPOA) designee has told the physician the he wants nothing done except supportive care. Which of the following is the most appropriate next step?
/ A. Order an EEG
/ B. Discuss intravenous fluids
/ C. Order a head CT scan
/ D. PIace a central line
/ E. Transfer to the emergency room
babbu5508 - 05-31-11 23:46
The patient is successfully stabilized and returns home. She is admitted to a nursing home three months later. One day, her physician finds her somnolent and difficult to arouse. The Health Care Power of Attorney (HCPOA) designee has told the physician the he wants nothing done except supportive care. Which of the following is the most appropriate next step?
/ A. Order an EEG
/ B. Discuss intravenous fluids
/ C. Order a head CT scan
/ D. PIace a central line
/ E. Transfer to the emergency room
The correct answer and explanation will be available after you answer.
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#1
Re: mpp29 dinmenace - 06-01-11 13:05 My answer is: b.
Ovarian cancer usually has a poor prognosis. It is disproportionately deadly because it lacks any clear early detection or screening test, meaning that most cases are not diagnosed until they have reached advanced stages
#2
Re: mpp29
babbu5508 - 06-16-11 01:02 The correct answer is B. Fluids and pain control are consistent with supportive care.
Additional tests (e.g., EEG, choice A) are not consistent with supportive care.
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