Read This Excerpt from a Patient's Physical Exam: Physical Exam

question 75

Multiple Choice

Read this excerpt from a patient's physical exam: Physical Exam:
Temperature: 98.6; Heart Rate: 100; Respiratory Rate: 32; BP: 84/60.
General: Thin. Lethargic.
Head: Normocephalic atraumatic, very dry mucous membranes. Ketotic breath. Pupils equal, round, and reactive to light. TMs normal.
Neck: Supple.
Cardiovascular: Mild tachycardia. No murmur, gallop, or rub.
Respiratory: Deep, rapid breathing. Clear to auscultation. No retractions.
Abdomen: Soft, nontender, nondistended. Spleen and liver edge not palpable.
Neurologic: DTRs: patellar and brachial present and equal.
Skin: Dry. Cap refill > 3 seconds.
Extremities: No cyanosis, clubbing, or edema.
Which statement is a correct reflection of the physical exam?

• A) The patient is afebrile, has a fast heart and respiratory rate, fruity-smelling breath, and PERRLA.
• B) The patient is afebrile, has a normal heart and respiratory rate, PERRLA, and therefore looks healthy.
• C) The patient is febrile, has a fast heart and respiratory rate, and her eyes are not reacting to light.
• D) The patient is febrile, has a normal heart rate and respiratory rate, and is overweight.

---

Definitions:

Used Cars

Pre-owned vehicles that have had one or more retail owners before being put up for sale again.

Moral Hazard

The situation in which one party engages in risky behavior knowing that it is protected against the risk because another party will bear the cost.

Financial Crisis

A situation where financial assets suddenly lose a significant part of their nominal value, often leading to market crashes and economic downturns.

Too Big to Fail

A concept that some financial institutions are so large and interconnected that their failure could lead to a catastrophic effect on the broader economy, necessitating government intervention.