You are dispatched for a 65 year old female patient with possible injuries related to a fall, injuries specifics are not known at the time of dispatch. Upon arrival you are met at the door by a relative
that stated they entered to home to find the female patient at the bottom of the basement stairs.
Initial patient contact reveals that she is alert but disoriented. Her airway is open and her
respirations are 24 per minute with adequate chest rise and fall. The patient's skin is pale, cool,
and clammy. Her heart rate is 120 per minute. During the rapid trauma assessment, you not that
her she complains of pain when you palpate her pelvis and you also note a deformed right lower
leg. Her blood pressure 96/72 mmhg.

What is the solution of 5/2x - 7 = 3/4x + 14 ? a. x = -6 b. x = 6 c. x= 8 d. x = 12

Harold, a fifty-eight year old grocery store manager, had recently been waking up in the middle of the night with abdominal pain. this was happening several nights a week. he was also experiencing occasional discomfort in the middle of the afternoon. harold decided to schedule an appointment with his physician. the doctor listened as harold described his symptoms and then asked harold some questions. he noted that harold's appetite had suffered as a result of the pain he was experiencing and as a result of the fear that what he was eating may be responsible for the pain. otherwise, harold seemed fine. the doctor referred harold to a physician that specialized in internal medicine and had harold make an appointment for a procedure called an endoscopy. the endoscopy was performed at a hospital later that week. during the procedure, a long, thin tube was inserted into harold's mouth and directed into his digestive tract. the end of the tube was equipped with a light source and a small camera which allowed the doctor to observe the interior of harold's stomach. the endoscope was also equipped with a small claw-like structure that the doctor could use in order to obtain a small tissue sample from the lining of harold's stomach, if required. the endoscopy revealed that harold had a peptic ulcer. analysis of a tissue sample taken from the site showed that harold also had an infection that was caused by helicobacterpylori bacteria. the doctor who performed the endoscopy gave harold prescriptions for two different antibiotics and a medication that would decrease the secretion of stomach acid. the doctor also instructed harold to schedule an appointment for another endoscopy procedure in 6 months. 1. list the subjective findings in this case study. 2. what is an endoscopy? (2 points) what is a biopsy? 3. how was a biopsy performed on harold? 4. differentiate between gastric and duodenal ulcers by location. 5. what role does h. pylori play in the formation of peptic ulcers? 6. define occult and frank blood. (4 points) what is a guaiac test? 7. how can peptic ulcers cause bleeding? 8. why were antibiotics prescribed? 9. why would a medication that would decrease the secretion of stomach acid be beneficial?

If the skin preparation site contains a colostomy or draining sinus that cannot be sealed off, how should that area be prepped? a. last, with sponges to be used once and discarded b. first, with the same preparation tray c. simultaneously, with the same preparation tray d. first, with a separate preparation tray