Lectus

A 33-year-old woman presents to the emergency department with pain in her right wrist. She says that she was walking on the sidewalk a few hours ago, when she slipped and landed forcefully on her outstretched right hand with her palm facing down. Vital signs are within normal limits. Physical exam reveals mild swelling of the right wrist and tenderness on the lateral aspect of the right hand with a decreased range of motion. Sensation is intact. The patient is able to make a fist with her right hand. A plain radiograph of her right wrist is shown in the image. Which of the following bones is most likely fractured in this patient?Deselect Answer

A 45-year-old woman with newly diagnosed breast cancer is approached by her oncologist to participate in a clinical trial comparing two chemotherapy regimens. The oncologist explains that the trial is randomized and double-blinded, discusses the potential benefits and risks of both treatments, mentions that her participation is voluntary, and states that she can withdraw at any time without affecting her care. However, the oncologist fails to mention that one of the experimental drugs has shown hepatotoxicity in 15% of patients in preliminary studies, though this information is clearly documented in the research protocol. Which fundamental principle of informed consent has been violated in this scenario?Deselect Answer

A 2-year-old boy presents with what the mother describes as “a sore on the back of his throat.” She states that her son had a fever and complained of throat pain two days ago. In addition, she states that he has been fussy and eating poorly. On examination, it appears that the child has met all appropriate developmental milestones and is well nourished. He has submandibular and anterior cervical lymphadenopathy. On oral examination, fewer than 10 lesions are visible on bilateral tonsillar pillars and soft palate. These are accompanied by surrounding erythema. After four days, the lesions disappear without treatment. Which of the following is the most likely causative agent?Deselect Answer

A 28-year-old psychiatry resident is treating a 35-year-old patient diagnosed with narcissistic personality disorder. During therapy sessions, the patient frequently makes grandiose statements about his superior intelligence and dismisses the resident's interventions as "beneath his intellectual level." The resident finds himself becoming increasingly frustrated and begins to feel inadequate and incompetent. He starts arriving late to sessions and finds himself being more confrontational with the patient. What is the most appropriate initial step for the resident to take in managing this situation?Deselect Answer