Tutor profile: Selena N.
70 year old male patient with past medical history of poorly controlled hypertension, type 2 diabetes mellitus, hypercholesterolemia presents to the clinic to receive pending results of a prostatic biopsy that was done one week ago. Patient's physician reveals to the patient a confirmed diagnosis of prostatic adenocarcinoma. Patient states, "I don't believe I have cancer because I am a healthy 70 year old man. I walk, I run, I eat healthy. There is no way I have cancer!" What stage of grief is this patient currently depicting? A: Denial B: Anger C: Bargaining D: Depression E: Acceptance
Patient cannot believe he has been diagnosed with cancer which should lead you to the correct answer, denial. All other answer choices are not correct. Patient is not angry towards the physician or his diagnosis. He is not bargaining to have his life saved. He is not exhibiting any of the SIGECAPS which exclude depression. He has just received his diagnosis and has not come to terms with it therefore he is not in the acceptance stage.
Subject: Clinical Lab Sciences
8 year old boy was visiting the beaches of Hawaii with his family for the past few days. He now complains of a pruritic localized rash on his left foot. Patient's mother states patient was walking on the beaches barefoot majority of the time. What is the likely organism that caused his presentation? A: Necator Americanus B: Trypanosoma Cruzi C: Leishmania Donovonii
Patient walking barefoot on a beach are the key words that should lead to you to the correct answer, Necator Americanus. Mode of transmission: feces on the ground that becomes transmitted through open skin. Trypanosoma Cruzi is an organism that causes megacolon, megaesophagus, dilated cardiomyopathy and is mainly seen in South American regions. Leishmania is mainly seen in regions of the Middle East and typical key work here would be amastigotes.
35 year old female presents to her family care physician for a routine check up. Patient has no significant past medical history. During physical exam, physician notes patient has a non tender fixed, firm, hard nodule in her neck region. What is the likely diagnosis? A: De Quervain Thyroiditis B: Riedel Thyroiditis C: Neck carcinoma
Patient's physical exam finding of a nontender fixed, firm, hard nodule in her neck region are key words that should point you to the answer of Riedel Thyroiditis. De Quervain Thyroiditis is a painful mass therefore tenderness will be present. More information would be needed to classify this nodule as a neck carcinoma therefore that is not the answer.
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