Welcome to saturdaynightpalsy’s page.
Contributor score: 10
Comments ...
luciana
Same here, I got confused because it seemed that the smoke AND the dog were the triggers, so I picked "Move back to the dormitories" so all the triggers would be gone.
Who would imagine poodles were hypoallergenic
+
jamaicabliz
The way I thought about it was that she's had the poodle for longer than 3 months, since she brought it with her, and didn't seem to have problems beforehand
+1
Subcomments ...
saturdaynightpalsy
"Patients with suspected neurosyphilis should undergo lumbar puncture and subsequent VDRL, FTA-ABS and/or PCR of cerebrospinal fluid" per my notes and the internet
Lumbar puncture is used to diagnose neurosyphilis, so that's what I put.
+2
saturdaynightpalsy
To add to that, I didnt choose the other answers you listed for the same reasons you listed.
+1
ac3
which of the following is the NEXT BEST STEP meaning you wouldnt want to jump straight to a lumbar puncture especially when there are answer choices that suggest discussing the diagnosis with the patient first. If you went to the doctor and they diagnose you they will discuss this with you before ordering additional testing.
+1
yerpderp
23/30 is also just mild cognitive impairment so I just thought she still had decision making capability as 24/30 is still normal
+3
cbreland
Are we expected to interpret MCI scores
+
madamestep
Mild memory impairment does NOT mean decreased decision-making capacity. An 83 year old with an almost normal mental status exam who maybe has a new boyfriend at her nursing home probably wouldn't want her daughter to know that she has an STI. And if this is elder abuse, you'd also want to talk to her privately to see if she's safe. No matter what, older adults with mild dementia are still normal people and you need to assess their decision-making capacity decision to decision. This woman most likely has the capacity to decide if she wants to undergo syphilis treatment.
+
saturdaynightpalsy
"Patients with suspected neurosyphilis should undergo lumbar puncture and subsequent VDRL, FTA-ABS and/or PCR of cerebrospinal fluid" per my notes and the internet
Lumbar puncture is used to diagnose neurosyphilis, so that's what I put.
+2
saturdaynightpalsy
To add to that, I didnt choose the other answers you listed for the same reasons you listed.
+1
ac3
which of the following is the NEXT BEST STEP meaning you wouldnt want to jump straight to a lumbar puncture especially when there are answer choices that suggest discussing the diagnosis with the patient first. If you went to the doctor and they diagnose you they will discuss this with you before ordering additional testing.
+1
yerpderp
23/30 is also just mild cognitive impairment so I just thought she still had decision making capability as 24/30 is still normal
+3
cbreland
Are we expected to interpret MCI scores
+
madamestep
Mild memory impairment does NOT mean decreased decision-making capacity. An 83 year old with an almost normal mental status exam who maybe has a new boyfriend at her nursing home probably wouldn't want her daughter to know that she has an STI. And if this is elder abuse, you'd also want to talk to her privately to see if she's safe. No matter what, older adults with mild dementia are still normal people and you need to assess their decision-making capacity decision to decision. This woman most likely has the capacity to decide if she wants to undergo syphilis treatment.
+
So we are just supposed to know that poodles are hypoallergenic...
I put "get an air cleaner" because I thought asking the roommate to stop smoking would be beyond the scope of the physician and since I didnt know poodles were hypoallergenic, I thought "well, even if the roommate stopped smoking, she'll still have issues because of the pet dander."
cries