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A 50-Year-Old Man with a Long History of Alcohol Use

question 244

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A 50-year-old man with a long history of alcohol use disorder is admitted to the hospital with difficulty breathing.  Blood pressure is 90/40 mm Hg, pulse is 114/min, respirations are 22/min, and pulse oximetry is 92% on room air.  Physical examination shows bilateral basal crackles, increased jugular venous pressure, hepatomegaly, ascites, and peripheral pitting edema.  Chest x-ray demonstrates cardiomegaly.  Scattered ecchymoses are present across each extremity.  Laboratory results are as follows: A 50-year-old man with a long history of alcohol use disorder is admitted to the hospital with difficulty breathing.  Blood pressure is 90/40 mm Hg, pulse is 114/min, respirations are 22/min, and pulse oximetry is 92% on room air.  Physical examination shows bilateral basal crackles, increased jugular venous pressure, hepatomegaly, ascites, and peripheral pitting edema.  Chest x-ray demonstrates cardiomegaly.  Scattered ecchymoses are present across each extremity.  Laboratory results are as follows:   The patient is given intramuscular vitamin K.  Two days later, his laboratory results are unchanged.  Which of the following is the most likely cause of this patient's laboratory abnormality? A) Dietary vitamin K deficiency B) Factor VII deficiency C) Factor VIII deficiency D) Intrinsic platelet dysfunction E) Von Willebrand factor deficiency The patient is given intramuscular vitamin K.  Two days later, his laboratory results are unchanged.  Which of the following is the most likely cause of this patient's laboratory abnormality?


Definitions:

CD-ROM Drive's Jumpers

Small pins on a CD-ROM drive used to configure settings like master or slave mode in IDE connections.

Cat 5e

Another name for Category 5e twisted pair cable that has a bandwidth maximum of 100 MHz, a maximum transmission speed of 1,000 Mb/s, and a 100-meter (328-foot) maximum cable distance. This type of cable reduces crosstalk found in Cat 5 cable.

1 Gb/s

A data transmission rate of 1 gigabit per second, used in networking and telecommunications to denote the bandwidth of a digital data connection.

Network Cabling

Refers to the physical infrastructure used to interconnect computers, servers, and other devices in a network to facilitate communication and data sharing.

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