How to Answer Very Busy Year Questions (Complete Guide)
Understanding this question requires applying core subject principles.
What This Question Is About
This question relates to very busy year and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves very busy year. A strong answer should include explanation, application, and examples.
Original Question
Sue is a very busy 55-year-old lady who doesn’t have time for illness. She has no medical history, takes no medications, including OTC, and is up to date on all her medical screenings. Sue comes to the office with a sudden onset of exhaustion, and generalized weakness in the last 4 days. Sue denies CP, SOB, cough, abdominal pain, dysuria, bowel changes, edema, fever, rash, or weight loss. She is unable to state whether she really has joint or muscle pain. Her vital signs are normal. You are somewhat perplexed, but you get the feeling that there could be an inflammatory component at work. You put Sue on Prednisone 50mg daily x 5 days until you can get some data back to help you hone your differential list. The following morning, you see the lab reports–they are crazy! Liver enzymes in the thousands, CPK level was astronomically elevated, WSR & CRP crazy high, but UA was normal. You call the patient to see how she is after starting the prednisone and to share the horrific lab results. As you expected, Sue felt “better” on the steroid, but described the development of generalized edema and significant muscle pain overnight. Given that you know the 50mg of oral prednisone did not lead to that reaction, and the fact that, despite the change in her condition, she still felt “better,” you believe you are on the right clinical road. Identify 3 differential diagnoses with rationales. 3 points each = 9 points.
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