Question

10. Orem is a 68-year old male who has been volunteering for Meals on Wheels as a driver. He is complaining of left shoulder and elbow pain. What would you order for this patient for testing? For medication? Write his prescriptions 11. Grace had a lumpectomy of her right breast 3 years ago. She is experiencing increasing frequency and duration of menopausal symptoms. She would like to go on hormone replacement therapy. What do you prescribe for her? Write her prescriptions. 12. Tony 72-year-old male, has scheduled this visit for difficulty in urination and increased frequency, especially at night. What tests and/or medications would you order? Write his prescriptions. 13. Mrs. Smith is an African-American woman of 76 years. Her daughter has scheduled this visit for increasing lethargy, insomnia, and uncontrolled weeping. What is your initial impression? How would you treat Mrs. Smith? Write her prescriptions. 14. Mary is a resident of a long-term skilled nursing facility. She has a fever of 101F and her skin is dry to the touch. She has a small amount of urine output that is dark and foul smelling. What test(s) and treatments would you prescribe? Write her prescriptions. 15. Kelly is a 67-year-old female complaining of spinal pain. Two compression fractures of the lumbar spine are present and the patient is osteoporotic. What medications would you recommend for this patient? Write her prescription.

Answer 1

Ans-10

Ecg,troponin-I MRI Arm

Medicine - neuroprin, nitroglycerin (sublingual), painkillers (diclofenac sodium)

Ans-11

If uterus is preserved- estrogen and progesterone both

If not present-estrogen only

Ans-12

Urine cultture test and bloodd sugar test

USG KUB

Medicine- antibiotics (cephalosporin aur Ciprofloxacin)

Ans-13

Search for respiratory infection

Chest x ray, pus culture if present

Medicine-antibiotics ,oxygen if required

Ans-14

Heat syncope may occure

Rrectal temp,cool the patient ,search for toxemia and septcemia

Mediction- cool the patient

Antipyretic-PCM

Antibiotics

Ans-15

HRT(Hormone replacement therapy)

Estrogens and progesterone