A 24-year-old woman complains of intermittent fever and joint pain. She says that these symptoms have been present for the past month. Before that, she had no signs or symptoms and was completely healthy. She has also lost her appetite and some weight. A complete blood count (CBC) showed severe pancytopenia. What is the next best step in evaluating this patient?
ARepeated CBCs for several weeks and reassess
BTreatment with corticosteroids
CTreatment with antibiotics
DTreatment for acute leukemia
EBone marrow examination
A 32-year-old man is brought to the emergency department by the police for examination. The police have reason to believe he may have swallowed a large number of cocaine-containing capsules during an attempt to smuggle the drug across the border. They request an examination of the patient to determine if this is actually the case. The patient has no history of any serious illnesses and takes no medications. He does not smoke, drinks, or consume any drugs. He appears upset. His vital signs are within normal limits. Despite the pressure by the police, he refuses to undergo any further medical evaluation. Which of the following is the most appropriate next step in the evaluation of this patient?
AExamine the patient without his consent
BRequest a court order from the police
CObtain an abdominal X-ray
DRefuse to examine the patient
EExplain the risk of internal rupture to the patient
A 28-year-old woman dies shortly after receiving a blood transfusion. Autopsy reveals widespread intravascular hemolysis and acute renal failure. Investigation reveals that she received type A blood, but her medical record indicates she was type O. In a malpractice lawsuit, which of the following elements must be proven?
ADuty, breach, causation, and damages
BOnly duty and breach
COnly breach and causation
DDuty, breach, and damages
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