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MMLU / A 35-year-old man with spina bifida is admitted to the hospital for a urologic…

Problem

Answer published by the source. Consult the official source to check your work against its answer.

question

A 35-year-old man with spina bifida is admitted to the hospital for a urologic procedure. He has been functionally independent in activities of daily living and is employed doing inventory control in a local sporting goods store. He has maintained continence through periodic self-catheterization. The patient is paraplegic, has recurrent calcium oxalate kidney stones, and recent onset of incontinence secondary to detrusor and bladder neck dysfunction. Vital signs are normal. Physical examination shows a well-developed, well-nourished man in no acute distress. Aside from paraplegia, lower extremity muscle atrophy, and lower abdominal surgical scars, the physical examination discloses no abnormalities. He had an episode of anaphylaxis secondary to latex allergy during a previous operation for functional expansion of his bladder through a bowel anastomosis. Which of the following is most important to consider in the care of this patient?

choices

  1. Administration of injectable medications with disposable syringes
  2. Preparation of food by outside contractors
  3. Type of cleaning agents used to sterilize bed linens
  4. Use of rubber urethral catheters

subject

professional_medicine

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Source and history

task_id
7639d2ea-5442-52da-86fb-28c3579867bb
task_key
all--test--7639d2ea-5442-52da-86fb-28c3579867bb
task_revision_id
1
config / split
all / test

Official source

initial import