11/12/21, 4:15 PM 🎇 AnaPhy Lab Midterm Examination

🎇 AnaPhy Lab Midterm Examination

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CASE ANALYSIS

Lotlot De Guzman, 35 years old, is rushed to the emergency room (ER) by her friends due to multiple
injuries. Few hours before admission, Lotlot and her friends were hiking following a narrow trail that is 10
feet high from a river. While hiking, Lotlot lost her balance and fell down the ravine. She was conscious,
her right side of the body is her dominant side, but she cannot use it because of pain. She shouted for
help. 2 of her friends went down to help her while the other 2 went to get help from the residents. After
30 minutes, medical help arrived. Initial interventions were given, then she was brought to San Luis
Hospital hence, admitted. To further assess her condition, she underwent computerized tomography (CT)
scan to check for cerebral bleeding and an x-ray to check for fractures. Complete blood count showed a
low level of red blood cells and an increased level of white blood cells.

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21. Right arm x-ray showed this image. Describe BRIEFLY and ACCURATELY 1 point
in 1 sentence using anatomic and directional terms. *

Lotlot's right arm x-ray shows that she has Proximal Humerus Fracture at the superior
aspect of the arm.

For #s 22- 25. Based on the situation, choose the deepest layer affected in
terms of the following injuries.

22. Abrasions on her both upper and lower limbs * 1 point

Epidermis

Dermis

Subcutaneous

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23. Lacerations on her thigh. Sample image below. * 1 point

Epidermis

Dermis

Subcutaneous

Muscle

24. Traumatic brain injury is suspected. What do you need to check on 1 point
Lotlot? *

Lotlot's eye movement and few basic informat

25. Justify your answer in the previous item. Limit your answer into 1 1 point
sentence. *

TBI indicators may be concussion, confusion or memory problems.

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For #s 26- 28. The bone was immobilized by a cast (supportive bandage). What
will the patient experience in terms of the following criteria and justify? Limit
your answer to 1 sentence.
Example:

Muscle tone - Due to lack of movement of her brachial muscles, there will be decrease in muscle tone.

26. Range of motion (ROM) * 1 point

Range of motion will be limited and not be as good and would do exercises as instructed
by the physician.

27. Pain * 1 point

Pain is normal but becomes less severe as days go by.

28. Activities of daily living (ADLs) * 1 point

ADL is not too affected but must avoid activities that can lead damage to the cast and
extraneous activities.

29. Since her right arm is immobilized by a cast, What type of muscle 1 point
contraction exercise will you teach for her right arm? *

isotonic exercise

isometric exercise

passive exercise

active assistive exercise

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30. State the instruction you will give Lotlot to perform the exercise you 1 point
answered in previous item. Maximum of 2 sentences. *

"Ma'am I will be assisting you today and we will do the exercises slowly and gently. This
is to avoid too much force and over-stretching the muscles."

Lotlot case
Base on what has been presented on the case of Lotlot overall & what you know about the functions of
the 4 tissue types, what are your prime concern for each tissue? Briefly EXPLAIN & JUSTIFY in 1
sentence.

31. Epithelial tissue * 1 point

for trapping of foreign particles.

32. Connective tissue * 1 point

less source of stem cells that helps in repairing or replacing damaged tissues.

33. Muscle tissue * 1 point

if it will give the ability of muscles to contract.

34. Nervous tissue * 1 point

Detection of the changes both within and outside the body and responds by creating
action potentials that cause muscle contraction and glandular secretions.

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35. Since the above tissues are affected, normal regeneration occurs but 1 point

not to all tissues because there are cells that do not regenerate. What
organelle of the cell is responsible for repair/regeneration? *

Cytoplasm

Nucleus

Golgi apparatus

Endoplasmic reticulum

36-37. As regeneration occurs, which events of the cell life cycle will the 2 points

affected cells of Lotlot undergo? Select ALL that apply, for 2 points. *

mitosis

interphase

crossing over

cytokinesis

Option 5

38. Lotlot needs an emergency blood transfusion due to bleeding. The 1 point

transfused blood is administered intravenously (via a vein) together with

what type of intravenous fluid? *

Hypertonic solution

Hypotonic solution

Isotonic solution

Liquid solution

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39. Justify your answer in the previous item in 1 sentence. * 1 point

Normal saline or the IV fluid has a similar concentration to blood, stays in the
intravascular region, and does not transport fluid between compartments due to

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