An 18-Year-Old Woman Collapsed While Practicing for a Marathon in Hot

question 319

Multiple Choice

An 18-year-old woman collapsed while practicing for a marathon in hot, humid weather.  The patient subsequently vomited 3 times and had a tonic-clonic seizure.  She has no chronic medical conditions and takes no medications.  The patient does not use alcohol or illicit drugs.  Temperature is 40.8 C (105.4 F) , blood pressure is 90/60 mm Hg, pulse is 130/min, and respirations are 22/min.  The patient is profusely sweating and is confused.  Pupils are sluggishly reactive to light.  Cardiopulmonary examination reveals clear lungs and normal heart sounds.  Laboratory results are as follows: Which of the following sets of hematologic findings is most likely to be present in this patient?

• A)A
• B)B
• C)C
• D)D
• E)E

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Definitions:

Plutchik's Scheme

A psychoevolutionary theory of emotion, proposing eight primary bipolar emotions and their combinations, interactions, and variations.

Primary Drive

Basic, innate urges such as hunger and thirst that motivate behavior to satisfy physiological needs.

Hunger

A natural physical condition that signals the body's need for food.

Cultural Factors

Cultural factors refer to the shared beliefs, values, norms, and practices that influence the behavior of individuals within a particular society or group.