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	<owl:Ontology rdf:about="https://www.wikidoc.org/index.php/Special:ExportRDF/WBR0556">
		<swivt:creationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2026-07-31T07:51:59+00:00</swivt:creationDate>
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	<swivt:Subject rdf:about="https://www.wikidoc.org/index.php/Special:URIResolver/WBR0556">
		<rdf:type rdf:resource="https://www.wikidoc.org/index.php/Special:URIResolver/Category-3AWBRQuestion"/>
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		<rdfs:label>WBR0556</rdfs:label>
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		<swivt:wikiPageContentLanguage rdf:datatype="http://www.w3.org/2001/XMLSchema#string">en</swivt:wikiPageContentLanguage>
		<property:AnswerA rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Provide reassurance and explanation of the condition</property:AnswerA>
		<property:AnswerAExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Incorrect.  It is important to reassure and provide adequate information to patients with panic disorders, but this patients requires urgent attention to the arterial blood gas abnormalities.</property:AnswerAExp>
		<property:AnswerB rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Urgent CT scan of the chest</property:AnswerB>
		<property:AnswerBExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Incorrect.  Urgent CT scan is required in cases of suspected pulmonary embolism.  This is not done for patients with panic disorders.</property:AnswerBExp>
		<property:AnswerC rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Correct.  Oxygen administration by face mask and monitor with pulse oximeter</property:AnswerC>
		<property:AnswerCExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Oxygen should be urgently administered to correct this patient’s arterial blood gas abnormalities.</property:AnswerCExp>
		<property:AnswerD rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Intravenous beta-blockers</property:AnswerD>
		<property:AnswerDExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Incorrect.  This is not required in the management of this patient.</property:AnswerDExp>
		<property:AnswerE rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Advice her to discontinue taking the OCP and refer to a psychiatrist</property:AnswerE>
		<property:AnswerEExp rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Incorrect.  Alternative birth control methods should be sought and the patient should be referred to a psychiatrist, but this should be after supportive therapies have been implemented</property:AnswerEExp>
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		<property:ExamType rdf:resource="&wiki;USMLE_Step_2_CK"/>
		<property:MainCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Internal medicine</property:MainCategory>
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		<property:Prompt rdf:datatype="http://www.w3.org/2001/XMLSchema#string">A 17-year-old college student is brought to the ED because of shortness of breath and palpitation.  The symptoms came on suddenly about one hour after she got back from the airport where she had arrived from a 6-hour flight visiting her parents.  She tells you, "I can't get my breath and I'm having pains in my chest. My face is numb. I think I'm dying. Do something!" The past medical history is unremarkable, except for the oral contraceptive pills that she takes occasionally.  Physical examination is normal except for tachypnea and tachycardia.  Electrocardiogram shows sinus tachycardia but is otherwise normal. Arterial blood gas values while breathing room air show:
                
PO2 – 90 mm Hg
PCO2 – 42 mm Hg
pH – 7.38
 
Which of the following is the best next step towards the management of this patient?</property:Prompt>
		<property:RightAnswer rdf:datatype="http://www.w3.org/2001/XMLSchema#string">C</property:RightAnswer>
		<property:SubCategory rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Respiratory</property:SubCategory>
		<property:WBRKeyword rdf:resource="&wiki;Panic_disorder"/>
		<property:WBRKeyword rdf:resource="&wiki;Respiratory_acidosis"/>
		<swivt:wikiPageModificationDate rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2020-10-28T00:57:07Z</swivt:wikiPageModificationDate>
		<property:Modification_date-23aux rdf:datatype="http://www.w3.org/2001/XMLSchema#double">2459150.5396644</property:Modification_date-23aux>
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