Read This Patient's Physical Exam and Lab Work: Physical Exam

question 69

Multiple Choice

Read this patient's physical exam and lab work: Physical Exam
General: WDWN. Nontoxic. NAD.
Head: PERRLA. EOMI bilaterally. Periorbital edema. No erthyma. No proptosis. Mucous membranes moist and pink. TMs normal.
Cardiovascular: Regular in rate and rhythm without murmurs, gallop, or rubs. No jvd.
Respiratory: Clear to auscultation.
Abdomen: Soft, nontender, nondistended, no hepatosplenomegaly. No CVA tenderness.
Neurologic: Alert, oriented.
Skin: Pink, warm.
Extremities: Edema of feet. Dorsal pedal pulses present.
Labs: Elevated BUN and creatinine. Hypocomplementemia. Antistreptolysin O and antiDNAase B.
Imaging: None.
According to this information, which of the following statements is true?

• A) The patient has a fast heartbeat.
• B) The patient has a blue tint to his skin.
• C) The patient has an elevated level of blood urea nitrogen.
• D) The patient looks ill.
• E) The patient's liver and spleen are enlarged.

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Definitions:

Downcutting

The erosional process by which a river cuts downward into its bed, deepening the river channel.

Discharge

The volume of water flowing through a river or stream or out of a particular structure, often measured in cubic meters per second.

Cubic Meters

A unit of volume in the metric system, indicating the volume of a cube whose sides are each one meter in length.

Velocity

The speed of something in a given direction, often used in the context of moving objects or fluids.