Fellow Exam

A 30 year old woman rock climber on vacation in Thailand with no past medical history took an unexpected 60ft fall and landed directly on her rt slide slamming her right lateral thorax into the rock wall. She is able to self rescue and walk to the nearest hospital where she’s diagnosed with a right sided pneumothorax. The patient requests to be flown back home to the USA. Which of the following answer choices applies to this patient?

A 45 year old man with a history of schizophrenia compliant with antipsychotics presents to the ED for an evaluation for a bump on his right cheek. Patient recently returned from a trip to sub saharan Africa. Patient woke up one morning with a itching bump on his face increasing in size that has been self expressing a reddish fluid. Patient is very concerned because he feels like there’s something moving in his face. Patient denies fever, chills, nausea, vomiting, diarrhea, cough, chest pain, abdominal pain, myalgias, or other rash. Vitals: Temp 98 F BP 130/70 HR 63 RR 12 02 100% on RA. After evaluating the lesion yourself, what is the next best step in management?

All the following are causes of dysentery EXCEPT?

A 47 year old male who lives off the grid and frequently forages for his food comes presents to the local ER after his wife found him altered and confused shortly after sipping homemade tea. The patient is unable to give any history. Vitals include HR 113, BP 140/90, O2 99% room air, temp 99.0F. His skin is dry. The wife notes the patient had a large quantity of the following plant in his foraging bag that she took a picture of. Which of the following is the correct management?

At what temperature will a human stop shivering and begin to experience moderate hypothermia?

All of the following are indicated for prevention or treatment of High Altitude Pulmonary Edema (HAPE) EXCEPT:

Which of the following is thought to be the main driving factor causing Acute Mountain Sickness (AMS), High Altitude Pulmonary Edema (HAPE), and High Altitude Cerebral Edema (HACE)?

A family of five is out for a hike on a cloudy day in the middle of July. Thunderstorms are expected in the early afternoon. The family hears thunder but ignores this and continues up the ridge as there is no rain around them. Lightning strikes affecting all family members. The father is conscious with a ferning pattern on his arm, the mother lost consciousness but now complains of bilateral lower extremity paralysis, the oldest son is unconscious and pulseless, the middle child is conscious with burns to here left temporal skull, and the youngest daughters is crying and repeating that they can’t hear. What is the appropriate order of triage and treatment in the above scenario?

A 38 year old male tourist falls out of the raft during a white water rafting trip. As the patient floats downstream, the guide yells out to get into safety position and throws a rope bag in front of him downstream. What should the patient do?