Day 22
Diagnose the case, Give the investigations, suggest the management and select the rubrics

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1. A 60-year-old man has a heart attack and is admitted to the medical floor with a very poor prognosis. He asks that you should not share any of his medical information with his wife as he does not think she will be able to take it. His wife catches you in the hall and asks about her husband's prognosis. What are you required to do legally? a. The doctor should inform the wife about her husband’s poor prognosis. b. The doctor is should not divulge the prognosis to the wife, but he should ask the nurse to let the wife know about her husband’s condition. c. The wife is certainly affected by her husband’s health and prognosis and every effort should be made to encourage open dialogue between them .d. The doctor should not encourage the patient to talk to his wife about his condition. Give reason
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2. A young man is brought to the emergency room after threatening to kill his 19-year-old girlfriend after she told him she was breaking up with him. The patient smells strongly of alcohol. The patient is from high socioeconomic status and reports many social supports. Which of the following pairs of factors make this patient’s risk of violent behavior higher? a. His age and his alcohol use b. His alcohol use and the impending breakup with the girlfriend c. The impending breakup with the girlfriend and his high socioeconomic status d. His high socioeconomic status and the presence of many social supports in his life e. The age difference of the couple and a verbal threat of violence by the patient. Justify your answer
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3.  A 17-year-old girl presents to with her parents. Her parents report that she has been behaving very unusually in the last 6 months. She has started expressing strange beliefs and has become very suspicious of family members and friends, claiming for example that her high school teachers are actually members of a radical group who are enemies of the country. Her physical examination shows a minimal resting tremor and a grayish green ring around the edges of the cornea that is most marked at the superior and inferior pole. The abnormality for this disease condition is located in which chromosome? A. Chromosome 6  B. Chromosome 13  
C. Chromosome 12  D. Chromosome 6 Explain your answer
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4. While at the grocery store, you see an elderly lady slump to the floor. Going to her aid, your first step in Adult Basic Life Support (CPR) should be the following a. Check for a carotid pulse b. Assess breathing c. Establish an airway d. Determine responsiveness e. Institute chest compression
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5. A 73-year-old woman with a medical history of obesity and diabetes mellitus presents to your clinic complaining of right knee pain that has been progressive and is worse with walking or standing. She has taken allopathy drugs without relief. She wants to know what is wrong with her knee and what may have caused it. X-rays are performed and reveal cartilage loss and osteophyte formation. Which of the following represents the most potent risk factor for the development of osteoarthritis? A. Age B. Gender C. Genetic susceptibility D. Obesity E. Previous joint injury
. Justify
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