The next two questions are related to this patient.Your next patient is a 68-year-old female patient who presents to clinic for a health maintenance exam. A CBC is obtained with the following results: Complete Blood Count Results Value Reference Range WBC 6.5 4-11 x103/µL RBC 4.25 4.0-5 x 106/ µL Hgb 10.6  12.0-16 g/dL HCT 30.4       36-46% MCV 72.0    80-100fl MCH 24.2 28-34 pg MCHC 31.6    32-36g/dL RDW 15.4    12-14.6% PLT 260    150-450103/µL While reviewing this patient’s chart you note that her hemoglobin was 10.8 last year and ferrous sulfate was prescribed, although patient indicates she did not take it. No other work up was done at that time. She is asymptomatic. Given the patient’s age and lack of symptoms, you are suspicious that the anemia is due to a chronic underlying problem. The most common cause for this presenting anemia is:

Intractable dizziness can be complicated to evaluate in the older adult.  Always concerned about fall risk, fracture and/or head injury.  This population may multiple medications and have numerous specialists prescribing their medications.  It is your job as a primary care provider to look at all of their medications  What medications are NOT generally problematic and can be used safely without caution for the older patient population?

Vestibular neuritis is most commonly caused by viral inflammation of the vestibular nerve. Which of the following is NOT a typically symptom of vestibular neuritis?

What is an important part of patient care that can minimize the risk of a formal patient complaint even when a mistake is made?

Which division of the trigeminal nerve innervates the skin of the forehead? LO 7.3

In ectopic pregnancies, the fertlized egg implants in the uterus. 

Where is the vagina relative to the bladder and urethra?

A layer of connective tissue surrounds the kidneys & adrenal glands, referred to as ___, which separates them from other abdominal organs & structures.

Match genitourinary surgical procedures/terms with the correct definitions.

The exam is 60 minutes. You will have an additional 15 minutes to print (if available), scan, and upload. If you submit after the allotted time, your exam will be considered late and may incur a late penalty. After you complete your exam, scan your solutions into one .pdf file. Please upload your completed exam file by clicking on the “Add File” button underneath Question 1’s blank answer field. Download exam file here: Midterm File Honorlock students should match the exam paginations and to write their name on top of every page if they cannot print out the exam. No extra paper (there are scratch pages attached to the exam itself). Rules: You can use your “cheat”sheet, nothing else. 1. There are 12 questions, each worth 3 points. You can pick any 10 (ie. for 30 points) . OPTIONALLY you can answer 11, or all 12. We will score everything you write, add up the points (even partial ones!). Note that your total will be ‘capped’ at 30, ie. you will not get more than 30 . Such a deal! Also, please just answer the question, don’t write ‘more’ (ie. provide irrelevant info) – quantity > quality.   2. Please STOP writing when the time is up – if you continue writing, you will get a five point penalty.  3. You can use your ‘cheat’sheet, nothing else. If you are observed ‘cheating, you’ll get a 0 for the exam, AND, be reported to OAI . Please *DO NOT* cheat. 4. Several questions involve ‘three’ items/aspects 🙂 5. Have fun!  If your exam utilizes Gradescope’s Student App, Do NOT upload to Gradescope. You will only upload your scanned exam file to this D2L quiz.