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S.O.A.P. Questions

S: 4th and 4th choice
O: 4th and 2nd choice
A: 1st choice
P: 2nd and 1st choice

Examination room
-Magnifying glass, glove, penlight and eye dye on right eye
-Glove on chin/neck

Treatment
-Sponge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on right eye
-Med syringe (5th) on upper arm
-Discharge

Patient 029
Case: Cut chin in car accident

S.O.A.P. Questions

S: 3rd and 3rd choices
O: 3rd and 2nd choices
A: 2nd choice
P: 1st and 2nd choice

Examination room
-Maginfying glass and glove on chin/neck
-Glove and tongue depressor in mouth

Treatment
-Sponge (1st), forceps (2nd) and bandage (3rd) on chin
-Med syringe on upper arm
-Call plastic surgeon to continue treatment

Patient 030
Case: Cut thigh while woodworking

S.O.A.P. Questions

S: 4th and 3rd choices
O: 2nd and 1st choices
A: 4th choice
P: 3rd and 1st choices

Examination room
-Magnifying glass and glove on right thigh
-Stethoscope on heart

Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th), needle (5th), topical med (6th) and bandage (7th) on right thigh
-Discharge

Patient 31
Case: Cut finger with knife

S.O.A.P. Questions

S: 3rd and 1st choices
O: 1st and 3rd choices
A: 2nd choice
P: 4th and 2nd choice

Examination room
-Magnifying glass and glove on left hand

Imaging room
-X-ray left hand

Treatment
-Sponge (1st) and bandage (2nd) on left hand
-IV med (3rd) on forearm
-Call in hand surgeon to continue care and admit
-Hospital orders
-Extremity elevated
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Level 3 patients-Now it gets harder

Patient 032
Case: Vomitted blood

S.O.A.P. Questions

S: 2nd and 2nd choices
O: 3rd and 2nd choices
A: 3rd choice
P: 2nd and 3rd choices

Examination room
-EKG on heart
-Glove, magnifying glass and stethoscope on abdomen
-Tongue depressor and magnifying glass in mouth

Imaging room
-X-ray abdomen

Laboratory
-Blood test amylase, bleeding times, hemoglobin/hematocrit and type and cross on elbow
-Stool test hemoccult on pelvis

Treatment
-IV and IV med in forearm
-Call in gastroenterologist to continue care and admit

Patient 033
Case: Stomach pain, vomitting, diarrhea

S.O.A.P. Questions

S: 1st and 2nd choices
O: 4th and 2nd choices
A: 4th choice
P: 4th and 1st

Examination room
-Magnifying glass, glove and stethoscope on abdomen

Imaging room
-Stoll test ova/parasites on pelvis (I need help! I don't know how to do it in this room!)

Laboratory
-Stool test hemoccult on pelvis
-Blood test sodium/potassium/chloride, glucose and complete blood count on elbow

Treatment
-PO meds in mouth
-Discharge


Patient 034
Case: Abdominal distress

S.O.A.P. Questions

S: 4th and 1st choices
O: 1st and 4th choices
A: 4th choice
P: 4th and 3rd choices

Examination room
-Glove and magnifying glass on abdomen
-Stethoscope on heart and abdomen
-EKG on heart
-Tongue depressor and magnifying glass on mouth

Imaging room
-X-ray abdomen

Laboratory
-Stool test hemoccult on pelvis
-Blood test hemoglobin/hemacrotit, amylase, type and cross and bleeding times on elbow

-Treatment
-IV (1st) and IV med (2nd) on forearm
-NG tube in nose (3rd)
-Call in surgeon to continue care and admit

Patient 035
Case: Kitchen fire while cooking

S.O.A.P. Questions

S: 2nd and 2nd choices
O: 3rd and 1st choices
A: 3rd choice
P: 4th and 3rd choices

Examination room
-EKG on heart
-Magnify glass on left eye, right eye and nose
-Tongue depressor, magnifying glass and respirometer in mouth
-Stethoscope on chest and heart
-Sphygmomanometer on upper arm

Imaging room
-X-ray chest

Laboatory
-Blood gas test carboxyhemoglobin and oxygen/carbon dioxide

Treatment
-EKG on heart (1st)
-Oxygen mask on mouth (2nd)
-Call in pulmonologist to continue care and treatment
-Hospital orders
-Patient rechecked; normalizing

Patient 036
Case: Chills, coughing, fever

S.O.A.P. Questions

S: 2nd and 3rd choices
O: 4th and 1st choices
A: 1st choice
P: 2nd and 3rd choices

Examination room
-Sphygmomanometer on upper arm
-Stethoscope on heart and chest
-EKG on heart
-Thermometer, tongue depressor, magnifying glass and respirometer in mouth

Imaging
-X-ray chest

Laboratory
-Blood gas test oxygen/carbon dioxide on wrist
-Blood test complete blood count on elbow

Treatment
-EKG on heart (1st)
-PO meds in mouth (2nd)
-Oxygen mask on mouth (3rd)
-IV med on forearm (4th)
-Call in pulmonologist to continue care and admit

Patient 037
Case: Chest pain, difficulty breathing

S.O.A.P. Questions

S: 1st and 4th choices
O: 2nd and 3rd choices
A: 2nd choice
P: 3rd and 3rd choices

Examination room
-Stethoscope on chest and heart
-EKG on heart
-Glove on left hand and right hand
-Sphygmomanometer on upper arm

Laboratory
-Blood test complete blood count and bleeding times on elbow

Treatment
-EKG on heart (1st)
-IV (2nd) and IV med (3rd) on forearm
-PO meds in mouth (4th)
-Oxygen mask on mouth (5th)
-Call in cardiologist to continue care and admit

Patient 038
Case: Stabbed in chest