Cardiac scenario

[rhan101277]

It continues part of the pattern of an increased attempt at output that is still compensating in the scenario. (otherwise the pulse pressure would be narrow indicating late shock) That might lead you more towards the furosimide distractor.

I pointed it out more for test taking than for medical significance. I have never seen a paramedic or RN listen for a new S3 heart sound either. (or any other one for that matter)

Here is another example of building a pattern from unrealistic findings:

A 3-year-old girl is brought to the emergency department 30
minutes after she tripped and fell. Physical examination shows
blue sclera and edema and tenderness over the right proximal
lower extremity. X-rays show a fracture of the right femur, as
well as several fractures of varying ages of the left clavicle,
right humerus, and right fibula. Which of the following is the
most likely diagnosis?
(A) Achondroplasia
(B) Ehlers-Danlos syndrome
(C) Hurler syndrome
(D) Marfan syndrome
(E) Osteogenesis imperfecta

While I am quite familiar with the "baby gram" x-ray study, who starts x-raying upper extremities in a 3 year old with edema and tenderness in the lower right proximal extremity? It simply reinforces the pattern.

Yeah I tried to answer some of the questions in the USMLE step 1, as a paramedic student, only a few of them i was getting correct. I just know a drop in the bucket.