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117587 Social & Preventive Medicine

A 42-year-old female executive is referred to the sleep clinic with jaw pain. She complains that after she arrives home at night around 10 pm she frequently drinks 3-4 gin and tonics to help quiet her mind.’ She wakes up the next morning around 3am to read the international stock market news, at which point she states her teeth ache an unbearable amount. A study is performed on the patient and it is noted that she grinds her teeth and mutters during roughly half of her sleep. Which of the following would you expect to see on her EEG and at which stage of sleep would you expect her jaw pain to be caused?

AAlphawaves.N2
BBeta waves, N3
CDelta waves, N3
DSleep spindles, N2
Social & Preventive Medicine
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117588 Medicine

A 26 year old man is critically ill, with multisystem organ failure, and he has not been able to give a clear history of respiratory distress. You suspect Acute Respiratory Distress Syndrome (ARDS). 1. The lung injury may be direct, as occurs in sepsis, or indirect, as occurs in Toxic inhalation 2. The aerial (a) PO2 (in mmHg)/FIO2 (inspiratory O2 fraction) > 200 mmHg is characteristic of ARDS 3. Ventilator-induced injury will be more with low tidal volume ventilation in ARDS 4. Moality was significantly lower in the high tidal volume ventilation, compared to the conventional tidal volume ventilated patients 5. High-dose glucocoicoids are useful in the care of ARDS patients

A1,2,5-True & 3,4-False
BAll True
CAll False
D3,4-True & 1,2,5-False
Medicine
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