I cannot reveal my source, but I once again am privy to esoteric wisdom. The following is a question I have obtained from the Medical College Admission Exam (MCAT):
Assessment:
- No respiratory distress
- Speaks in full sentences
- No acessory muscle use
- Lungs clear
- Normal breath sounds
- No respiratory history
- No asthma
- No CHF
- No pneuonia
Diagnosis: Intractable pain and seizures
Plan: Breathing treatments of Albuterol Q6 and Pulmicort BID
Of the above, which of the following are true:
- a. Nothing makes sense about the above orders, as if a person is not short of breath and has no respiratory history, he should not require breathing treatments
- b. Preventolin will assure a speedy recovery
- c. Breathing treatments are indicated to assure patient meets criteria for reimbursement
- d. Seizurebuterol sooths and relaxes the myelen sheths in the cerebral cortex to minimize spasms of the head and shoulders. May be alternated with headandshouldersuterol. The medicine should be given at a frequency of QID. Pulmicort should be given BID to lubricate the albuterol particles to help crossage of the blood-brain barrier.
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