Welcome. This is episode 526 of the Devan Intervention Podcast. In today's

podcast we're going to be continuing the conversation on the USMLE

Step to CK-120. There's going to be part 8. If you've missed the first seven parts in the series, you should listen to it. A lot of learning to be had.

I was pretty much doing the first 60 questions.

For the last three podcasts, I've been trying to knock out 10 questions per podcast, but 61 to 70 have pretty extensive discussions that I want to give.

So I'm going to split it up, so I'm going to do 61 to 65 in this one.

So let's get right into it. So question 61 says a 67 year old man is evaluated in the

intensive care unit. He has N-stitch pancreatic cancer and was hospitalized three days

ago for treatment of pneumonia. Respirations are six per minute.

Pulse oxymmat on 100% oxygen by face mask shows an auto saturation of 78%

examination shows feet. shows an oto-saturation of 78%.

Examination shows feeble respiratory efforts,

is using accessory muscles of respiration,

or mental status examination.

The patient is oriented to a person,

but not to place or time. If the patient is not

endotrically intubility, he will die within hours. His wife says the parent recently told her that he would never want mechanical ventilation

But he never completed paperwork regarding his wishes.

His daughter insists that he be mechanically ventilated.

Which of the following is the most appropriate action for the physician to take.

He says, performing nutricul intubation and begin mechanical ventilation.

B says performing nutrical intubation and then consult the hospital ethics committee

...