Henry, 60, complains of back pain and frequent Infections. An SPEP test is ordered and shows a monoclonal spike. What condition does Henry most likely have

Hypogammaglobulinemia

Graft-versus-host disease

Sepsis

Multiple myeloma

Answer and Explanation

The Correct Answer is D

A.   This condition is characterized by low levels of immunoglobulins, which may predispose to infections, but it typically does not present with a monoclonal spike on SPEP.
B.   This condition occurs after a transplant procedure and is not typically associated with back pain or a monoclonal spike on SPEP.

C.   While sepsis can cause back pain and recurrent infections, it is not typically associated with a monoclonal spike on SPEP.
D.   Multiple myeloma often presents with bone pain (including back pain) and recurrent infections. The monoclonal spike on SPEP is characteristic of this condition.

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Correct Answer is B

Explanation

A. While impaired mucociliary clearance can contribute to respiratory symptoms in COPD, it is not directly reflected in the PaCO2 level.
B. In COPD, the respiratory drive can be blunted, leading to inadequate response to elevated PaCO2 levels by the chemoreceptors.
C. Reflex bronchoconstriction may occur in response to various stimuli but is not directly related to the PaCO2 level.
D. Filtration of air primarily refers to the removal of particulate matter and pathogens by the respiratory system and is not directly related to PaCO2 levels.

A. Arrange for a follow-up appointment with a cardiologist. B. Provide John with emotional support for his allergies. C. Monitor John's dressing for excessive bleeding. D. Administer antibiotics to prevent post-operative infection.

Correct Answer is C

Explanation

A. This action is not directly related to John's eye surgery.

B. Emotional support may be beneficial, but it's not the most crucial action post- Trabeculectomy.
C. This is crucial post-operative care to ensure proper wound healing and prevent complications such as hemorrhage.
D. While infection prevention is important, administering antibiotics specifically for John's past allergies without indication may not be appropriate.

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Henry, 60, complains of back pain and frequent Infections. An SPEP test is ordered and shows a monoclonal spike. What condition does Henry most likely have

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Naxlex Comprehensive Predictor Exams

A 62-year-old man named John with a history of COPD is admitted for worsening shortness of breath. John's recent arterial blood gas (ABG) Indicates a PaCO2 level of 55 mmHg. Which of the following mechanisms is most compromised In John's respiratory system?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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