A 55-Year-Old Man Is Brought to the Emergency Department Due

question 187

Multiple Choice

A 55-year-old man is brought to the emergency department due to shortness of breath, productive cough, and confusion.  His wife mentions that last week he was diagnosed with the flu and his symptoms have progressively worsened.  Temperature is 39.4 C (103 F) , blood pressure is 80/50 mm Hg, pulse is 120/min, and respiratory rate is 22/min.  Pulse oximetry shows 86% on room air.  On physical examination, the patient is obtunded and in respiratory distress.  He is intubated, given a 2-L bolus of normal saline, and started on broad spectrum antibiotics after blood cultures are obtained.  A central line is placed to access a structure embryonically derived from the common cardinal veins.  This structure is represented by which of the following labels shown in the chest CT scan below?

• A)A
• B)B
• C)C
• D)D

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Definitions:

AMA (American Medical Association)

A professional organization for physicians in the United States dedicated to promoting the art and science of medicine and the betterment of public health.

TAT

Stands for Thematic Apperception Test, a psychological assessment tool where subjects interpret ambiguous images to reveal their underlying motives, feelings, and personality traits.

Delusion

A false belief firmly held despite clear or contradictory evidence, often encountered in psychiatric disorders.

Cheat

The act of behaving dishonestly or unfairly in order to gain an advantage, especially in a game, exam, or competition.