A child was playing soccer when an asthmatic attack occurred. The child was transported to the local emergency room and a physical exam reveals subcostal and intercostal retractions. The child reports that breathing is difficult with feelings that, “I cannot get enough air.” Which of the following adventitious sounds would the nurse expect to hear when listening to the lungs?

What acquired disorder is described as complex and in which clotting and hemorrhage simultaneously occurs?

How is Pernicious Anemia different from Folate Deficiency Anemia?

A med-surg nurse receive a patient from post-op and was reviewing the labs from the patient. The nurse noticed the hemoglobin was low. What could be a possible cause of this low hemoglobin?

What medical term would the nurse use when charting about fluid around the lungs?

A patient is admitted with sickle cell crisis. The patient has pain with a pain of 8 out of 10 on a pain scale and with the following vital signs: HR elevated at 115, BP is good at 120/82, RR is good at 18, oxygen saturation is low at 83%, and elevated temperature of 101.2’F. Based on these vitals, what will the nurse do (implement) first?

Use this table for the following questions.  Assume you don’t have the lab manual table to answer the questions.  Antibiotic Patient A (Zone of Inhibition in mm) Patient B (Zone of Inhibition in mm) Erythromycin 10 mm 25 mm Tetracycline 20 mm 2 mm Ampicillin 0 mm 1 mm Penicillin 30 mm 16 mm a. Based on the zones of inhibition, which antibiotic would you use to treat Patient A? b. Based on the zones of inhibition, which antibiotic would you use to treat Patient B?

Q45. A Golden retriever (photo ‘A’) has cutaneous histiocytosis, an inflammatory Lymphohistiocytic proliferative disorder that primarily involves skin and subcutis. Lesions may disappear spontaneously or regress and appear at new sites simultaneously. A biopsy of the skin (see photomicrograph ‘B’) reveals cells that are on IHC and express CD1, CD11c, MHC class II, CD4, and CD90. On transmission EM (see photomicrograph ‘C’), the tumor cells contain Birbeck granules comprised of antigen-bound Langerin (Langerin is a c-type lectin). Which of the following types of immune cells is most likely responsible for the inflammatory infiltrate in this dog? 

Q14. The images show that the thymus forms during the first trimester of life from the third pharyngeal (branchial) arch. Which of the following immunologic problems would result if something interrupts the normal development of the third pharyngeal arch?

Q40. Which of these shows the lowest avidity?