A 62-year-old female smoker is distraught at her recent diagnosis ...

[joesmith1212]

A 62-year-old female smoker is distraught at her recent diagnosis of small cell lung cancer (SCLC). How can her physician most appropriately respond to her?
 
  A)
  I'm sure this is very hard news to hear, but be aware that with aggressive treatment, your chances of beating this are quite good.
  B)
  This is very difficult to hear, I'm sure, and we have to observe to see if it spreads because that often happens.
  C)
  I'm very sorry to have to give you this news; I'd like to talk to you about surgical options, however.
  D)
  This is a difficult diagnosis to receive, but there is a chance that the cancer may go into remission.

Question 2

A 22-year-old male is experiencing hypovolemic shock following a fight in which his carotid artery was cut with a broken bottle. What immediate treatments are likely to most benefit the man?
 
  A)
  Resolution of compensatory pulmonary edema and heart arrhythmias
  B)
  Infusion of vasodilators to foster perfusion and inotropes to improve heart contractility
  C)
  Infusion of normal saline or Ringer lactate to maintain the vascular space
  D)
  Administration of oxygen and epinephrine to promote perfusion

[tanna.moeller]

Answer to Question 1

Ans:
B

Feedback:

Metastases are common with SCLC. Survival rates are very low; surgical options do not exist; and remission is very unlikely.

Answer to Question 2

Ans:
C

Feedback:

Maintenance of vascular volume is the primary goal in the treatment of hypovolemic shock and can be achieved in the short term through intravenous administration of saline or Ringer lactate. Resolution of pulmonary edema and heart arrhythmias and infusion of vasodilators are associated with treatment of cardiogenic shock, while oxygen and epinephrine would address anaphylactic shock.

[joesmith1212]

Correct answers!

[tanna.moeller]

Great! Please up vote