A 6-month-old infant presents with cyanosis, failure to gain weight, and squatting during play. Which congenital heart defect is most likely associated with these clinical findings?
Which of the following mechanisms primarily leads to hypoxem…
Which of the following mechanisms primarily leads to hypoxemia in restrictive lung disorders?
A 45-year-old female patient with a history of hypertension…
A 45-year-old female patient with a history of hypertension presents with complaints of shortness of breath, fatigue, and swelling in her legs. Diagnostic tests revealed an enlarged heart, systolic dysfunction, but normal diastole. What additional finding would you expect to observe in this patient?
A 70-year-old woman presents with gradual central vision los…
A 70-year-old woman presents with gradual central vision loss in both eyes. She reports difficulty reading and recognizing faces, although her peripheral vision remains intact. What is the most likely diagnosis?
A patient in the Medical Intensive Care Unit (MICU) is diagn…
A patient in the Medical Intensive Care Unit (MICU) is diagnosed with sepsis and severe hypoxemia. After 17 days in the MICU, his condition has not improved, and a repeat chest X-ray shows significant changes in lung architecture with worsening gas exchange. Which of the following pathophysiological changes is most likely contributing to his ongoing hypoxemia at this stage?
A 52-year-old male with a 40-pack-year smoking history prese…
A 52-year-old male with a 40-pack-year smoking history presents to the clinic with a chronic cough, unexplained weight loss, and recent onset of digital clubbing. His oxygen saturation is 88% on room air. A chest X-ray reveals a suspicious mass in the right upper lobe. Which of the following is the most likely underlying condition causing the patient’s clubbing?
A patient with right-sided heart failure presents with ascit…
A patient with right-sided heart failure presents with ascites, and a yellow-tinted appearance to their skin and eyes. They are also embarrassed to report that their stool is now a different color than normal (clay-colored). What condition, which is common in right-sided heart failure, do you suspect?
An acute care nurse practitioner working in the emergency ro…
An acute care nurse practitioner working in the emergency room is treating a child under 2 years old who has been diagnosed with bronchiolitis. The nurse practitioner knows that the most likely pathogen responsible for this condition is:
A 25-year-old woman reports episodes where she wakes up duri…
A 25-year-old woman reports episodes where she wakes up during the night, feeling unable to move or speak. She is fully aware of her surroundings and can recall the event in detail the next day. During which sleep stage does this type of parasomnia occur?
A 68-year-old patient presents with confusion, cold and clam…
A 68-year-old patient presents with confusion, cold and clammy skin, and a systolic blood pressure of 85 mmHg. The patient’s mean arterial pressure (MAP) is calculated to be 60 mmHg. Which of the following is the most appropriate initial clinical concern for this patient?