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.

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Definitions:

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