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______________qmedicationsqareqamongqtheqmostqcommonlyqusedqmedicationsqbyqwomenqinqtheqfir stqtrimesterqofqpregnancy. A)qAntiepilepticqdrugs B)qAntibiotics C)qAntihypertensives D)qOpioidsq-qCORRECTqANSWER-B)qAntibiotics 27 - yearqoldqmaleqwithqlupusqhasqaqeGFRqofq 48 qandqĀ1Cqofq7.2%,qnewlyqdiagnosedqwithqT2DM. 1)qWhatqmedicationqisqfirstqchoiceqinqthisqpatient?q-qCORRECTqANSWER- 1)qMetforminq(canqbeqgivenqasqlongqasqtheqGFTqisq>q45,qmonitorqclosely) 35 - yearqoldqfemaleqwithqnewlyqdiagnosedqimpairedqfastingqglucoseqandqĀ1Cqofq5.9% 1)qWhatqmedicationqisqfirst-line? 2)qWhatqifqsheqisqcontemplatingqpregnancy?q-qCORRECTqANSWER-1)qMetformin 2)qMetforminqisqOKqinqpregnancy 35 - yearqoldqobeseqmaleqwithqhxqofqT2DMqisqonqtheqmaxqdoseqofqMetformin.qHisqĀ1Cqisq7.6q(goalq<q7%).q Heqdesiresqweightqlossqandqisqneedle-phobic. 1)qWhatqmedicationqclassqshouldqbeqconsidered 2)qWhichqmedqclass(es)qshouldqbeqavoided?q-qCORRECTqANSWER-1)qSGLT- 2 qinhibitorq(canagliflozinq-qInvokana,qempagliflozinq-qJardiance) 2)Sulfonylureasq(a/wqweightqgain) GLP-1,qinsulinq(injectables) 82 - yearqoldqmaleqwithqT2DMqisqcurrentlyqonqmaxqdoseqofqMetformin.qHisqĀ1Cqisq7.9%.q 1)qWhatqisqyourqplanqatqthisqvisitqforqhisqĀ1C?q-qCORRECTqANSWER- 1)qAqreasonableqĀ1Cqgoalqforqhisqageqisq<8%.qReviewqlifestyleqmodificationsqandqdecreaseqcarbqinta ke
Aq 19 - yearqoldqcollegeqstudentq(otherwiseqhealthy,qnonsmoker)qwasqdiagnosedqwithqcommunity- acquiredqpneumoniaqbyqCXRqaqcoupleqdaysqago.qSheqhasqbeenqtakingqamoxillinqwithqclavulanateq 87 5 qmgqBIDqforqtheqpastq 48 qhours.qSheqreturnsqtodayqforqaqfollow-upqappointment.q Herqvitalsq 2 qdaysqago:qBPq120/72,qHRq96,qTq103F,qRRq24/min,qÓ2qsatsq92%.q Herqvitalsqtoday:qBPq130/80,qHRq100,qTq102.2,qRRq24/min,qÓ2qsatsq94%. Howqwouldqyouqmanagerqherqtoday? A)qRepeatqCXR,qCBC,qandqstartqlevofloxacin B)qStartqazithromycinq 5 - dayqpack C)qContinueqwithqamoxicillin-clavulanateqforqanotherq 24 qhours D)qStopqamoxicillin-clavulanateqandqstartqdoxcyclineq 100 qmgqBIDqxq 7 qdaysq-qCORRECTqANSWER- D)qStopqamoxicillin-clavulanateqandqstartqdoxycyclineq 100 qmgqBIDqxq 7 qdays Sheqmostqlikelyqhasqanqatypicalqpathogenq(mycoplasmaqpneumoniaeqorqchlamydophilaqpneumonia e),qwhichqshouldqbeqtreatedqwithqaqmacrolideqorqdoxycycline Aq 19 - yearqoldqmanqpresentsqwithqstageq 1 qHTN.qWhichqofqtheqfollowingqisqcorrectqconcerningqhisqparticipa tionqinqsportqactivities? A)qFullqactivityqshouldqbeqencouraged B)qWeightqliftingqisqcontraindicated C)qHeqshouldqhaveqanqexerciseqtoleranceqtest D)qAqbeta-adrenergicqantagonistqshouldqbeqprescribedq-qCORRECTqANSWER- A)qFullqactivityqshouldqbeqencouraged Aq 22 - yearqoldqfemaleqwantsqtoqknowqifqsheqcanqstartqaqwalkingqprogram.qSheqhasqbeenqdiagnosedqwithqm itralqvalveqprolapse,qandqherqechoqrevealedqtraceqmitralqregurgitation.qYouqrespondqthat A)qsheqshouldqhaveqanqexerciseqtoleranceqtest B)qanqECGqshouldqbeqobtained C)qsheqmayqproceedqinqtheqabsenceqofqsymptomsqofqactivityqintolerance D)qrunningqshouldqbeqavoidedq-qCORRECTqANSWER- C)qsheqmayqproceedqinqtheqabsenceqofqsymptomsqofqactivityqintolerance
A)qHerqage B)qFamilyqhx C)qIneffectivenessqofqOTCqcoughqmedicines D)qLengthqofqtimeqsheqhasqbeenqcoughingq-qCORRECTqANSWER- D)qLengthqofqtimeqsheqhasqbeenqcoughing Why?qThisqinformationqhelpsqyouqbuildqyourqddxq Acuteqcoughq<q 3 qweeks:qbronchitis,qsinusitis,qPND,qexacerbationqofqCOPD/asthma,qpneumonia,qpu lmonaryqembolism Chronicqcoughq(>8qweeks)qGERDqandqAsthmaqareqmostqcommonqcauses,qalsoqconsiderqinfectionq( e.g.qpertussis,qatypicalqpneumonia),qACEqinhibitors,qchronicqbronchitis,qbronchiectasis,qlungqca) Aq 25 - yearqoldqwomanqpresentsqwithqsinusqarrhythmia.qWhichqofqtheqfollowingqstatementsqisqcorrectqcon cerningqherqparticipationqinqsportqactivities? A)qFullqactivityqshouldqbeqencouraged B)qWeightqliftingqisqcontraindicated C)qSheqshouldqhaveqanqexerciseqtoleranceqtest D)qaqcalciumqchannelqantagonistqshouldqbeqprescribedq-qCORRECTqANSWER- A)qFullqactivityqshouldqbeqencouraged Sinusqarrhythmiaqinqaqyoungerqadultqisqaqnormalqfinding Aq 26 - yearqoldqwomanqhasqbeenqtakingqanqSSRIqforqdepressionqduringqtheqentireqcourseqofqherqpregnancy. qSheqgivesqbirthqtoqaqfull- termqhealthyqbabyqgirl.qFiveqdaysqafterqtheqdelivery,qsheqreportsqthatqtheqbabyqisqirritableqwithqprotra ctedqperiodsqofqcrying.qThisqisqlikelyqtheqresultqofq A)qincreasedqintracranialqpressureqfromqenquteroqSSRIqexposure B)qcolic C)qimpendingqsepsis D)qSSRIqwithdrawalq-qCORRECTqANSWER-D)qSSRIqwithdrawal Aq 28 - yearqoldqwomenqpresentsqtoqtheqclinicqc/oqcatqbiteqonqherqrightqankle.qHerqpetqcatqbitqherqwhenqsheq
accidentallyqsteppedqonqhisqpaw.qHeqisq 3 qyearsqoldqandqisqup-to- dateqonqhisqvaccinations.qSheqwashedqtheqwoundqwithqsoapqandqwater.qTreatmentqofqthisqpatient'sq catqbiteqshouldqincludeqstandardqwoundqcareqwithqtheqadditionqofq A)qoralqerythromycin B)qtopicalqbacitracin C)qoralqamoxicillin-clavulanate D)qparenteralqrifampinq-qCORRECTqANSWER-C)qoralqamoxicillin-clavulanate ~80%qofqcatqbitesqbecomeqinfected,qallqwoundsqshouldqbeqculturedqandqtreatedqempirically (Onlyq5%qofqdogqbitesqbecomeqinfected,qtreatqifqsevereqorqsignificantqcomorbidity) Aq 29 - yearqoldqfemaleqreportsqaqsuddenqonsetqofqrightqsidedqfacialqasymmetry.qSheqisqunableqtoqcloseqherq rightqeyelidqtightly,qfrown,qorqsmileqonqtheqaffectedqside.qHerqphysicalqexamqisqotherwisequnremarka ble.qThisqlikelyqrepresentsqparalysisqofqwhichqcranialqnerve? A)qIII BqIV C)qV D)qVIIq-qCORRECTqANSWER-D)qVII Acuteqfacialqnerveqparalysisq(Bell'sqpalsy)qisqaqpossibleqneurologicqmanifestationqinqstageq 2 qLymeqdi seaseqthatqwarrantsqcarefulqexaminationqandqserologicqtestingqforqLymeqdisease Aq 30 - yearqoldqmaleqhasqpersistentqasthma.qWhatqdailyqmedicationqregimenqwouldqbeqappropriate? A)qAlbuterol B)qLow-doseqfluticasone,qalbuterol C)qMedium-doseqfluticasone D)qBudseonide,qsalmeterol,qalbuterolq-qCORRECTqANSWER-C)qMedium-doseqfluticasone AlbuterolqaloneqisqusedqforqintermittentqasthmaqAlbuterolqshouldqnotqbequsedqdailyq(ifqtheqpatientqis qusingqtheirqrescueqinhalerqmoreqthanqtwiceqaqweekq-->qcallqtheqPCM!) Aq 38 - yearqoldqmotherqofqtwoqteenagersqrecentlyqrecoveredqfromqMycoplasmaqpneumoniaqaqcoupleqofqwe
50 qmcgqM-Fq=q 250 qmcgq 100 qmcgqSat/Sunq=q 200 qmcg 250+200q=q 450 qmcgqweekly Aq 45 - yearqoldqpatientqhasqsubclinicalqhypothyroidism.qHerqTSHqisq6.2.qWhatqareqtheqmajorqrisksqofqprescr ibingqlevothyroxine? A)qThereqareqveryqfewqrisks B)qHyperlipidemia,qatrialqfibrillation C)qAcceleratedqboneqloss,qatrialqfibrillation D)qSheqmayqdevelopqhypertensionqandqtachycardiaq-qCORRECTqANSWER- C)qAcceleratedqboneqloss,qatrialqfibrillation Aq 48 - yearqoldqpostmenopausalqwomanqwithqT2DMqdiagnosedq 6 qweeksqagoqc/oqpersistentqdiarrheaqwithq Metformin.qHerqĀ1Cqisq9.2%q(goalq<q7%) 1)qWhatqisqtheqprimaryqprescribingqstrategy? 2)qWhatqmedicationqshouldqyouqavoidqinqthisqpatient?q-qCORRECTqANSWER- 1)qDualqtherapyq(Ā1Cq>q9%) 2)qTZDsq(Actos,qAvandia)qincreaseqtheqriskqofqfracture,qavoidqinqpostmenopausalqwomen Aq 50 - yearqoldqself- employedqmanqdrivesqaqbreadqtruckqandqtakesqmaxqdoseqMetformin.qHeqcannotqtolerateqhypoglyce mia.qHisqcurrentqĀ1Cqisq8.0q(goalq<q7%).qHeqhasqlimitedqfundsqbutqhasqanqaffordableqgenericqco- pay.q 1)qWhatqmedicationqwouldqyouqstartqthisqpatientqon?q-qCORRECTqANSWER- 1)qTZDq(ActosqorqAvandia),qDPP- 4 q(sitagliptin)? Aq 52 - yearqoldqfemaleqwalksqinqtoqtheqclinicqc/oqratqbiteqwhileqtryingqtoqopenqaqdumpster.qOnqphysicalqexa m,qyouqnoteqaq 1 qcmqdeepqwoundqthatqisqoozingqbrightqredqblood.qInqadditionqtoqstandardqwoundqcar e,qtreatmentqofqthisqpatientqshouldqinclude A)qrabiesqimmuneqglobulin B)qrabiesqvaccine C)qoralqciprofloxacin D)qoralqamoxicillin-clavulanateq-qCORRECTqANSWER-D)qoralqamoxicillin-clavulanate
Rabiesqprophylaxisqisqnotqindicatedqinqratqbites. Txqw/qamoxicillin-clavulanateq 875 qmg/125qmgqBIDq(alternativeqtx:qdoxcycline) aq 58 - yearqoldqfemaleqw/qhypothyroidismqisqtakingq 88 qmcgqofqsynthroidqdaily.qSheqhasqaqroutineqTSHqwithq herqannualqlabs.qTodayqherqTSHqwasq1.4qmU/Lq(normalq0.5-4.5)qandqT4qwasq2.5q(normalq0.8- 1.8).qWhatqactionqisqappropriate? A)qIncreaseqherqdoseqtoq 100 qmcgqdaily B)qIncreaseqherqdoseqtoq 112 qmcgqdaily C)qDecreaseqherqdose D)qContinueqtheqsameqdoseq-qCORRECTqANSWER-D)qContinueqtheqsameqdose HerqTSHqisqnormal Aq 58 - yearqoldqmanqhasqtheqfollowingqlabqresults.q TSHq13.5q(normalq0.4-4.8),qT4q1.1q(normq0.8-1.8) 6 qweeksqlater:qTSHq15.6,qT4q0. Selectqtheqbestqanswer. A)qDiagnoseqasqprimaryqhypothyroidism,qtreatqwithqlevothyroxine B)qDiagnoseqasqsubclinicalqhypothyroidism,qtreatqwithqlevothyroxine C)qDiagnoseqasqsubclinicalqhypothyroidism,qdoqnotqtreat D)qDiagnoseqasqsubclinicalqhyperthyroidism,qtreatqwithqmethimazoleq-qCORRECTqANSWER- B)qDiagnoseqasqsubclinicalqhypothyroidism,qtreatqwithqlevothyroxine Treatmentqofqsubclinicalqhypothyroidismqisqcontroversial.... IfqpatientqhasqsubclinicalqhypothyroidismqwithqTSHq>q 10 q--
qTreatqtoqPREVENTqconversionqtoqprimaryqhypothyroidism IfqTSHq<q 10 q-->qmonitor.qAssociatedqwithqriskqofqafibq(immediateqrisk),qaccelaratedqboneqlossq(long- termqrisk,qleechesqcalciumqandqvitqDqfromqtheqbones) Aq 60 - yearqoldqmaneqwithqT2DMqtakesqMetforminqandqGlipizide.qHisqĀ1Cqisq10.2q(goalq<q7%).qTheqNPqdeci desqtoqstartqbasalqinsulin. 1)qWhatqshouldqbeqdoneqwithqMetforminqandqglipizide? 2)qHowqmuchqinsulinqwouldqyouqstartqthisqpatientqon?q-qCORRECTqANSWER- 1)qContinueqMetformin.qSTOPqglipizide.
D)qAbsenceqofqhairqgrowthqonqlowerqlegs E)qHistoryqofqsmoking F)qHistoryqofqdiabetes G)qHistoryqofqhypothyroidismq-qCORRECTqANSWER-Notqlikelyqfindingsqinqperipheralqarteryqdisease B)qLeftqlowerqextremityqedemaq=qmoreqlikelyqinqpatientsqwithqvenousqinsufficiency G)qHistoryqofqhypothyroidism WhatqareqtheqtwoqbiggestqriskqfactorsqforqPAD? Smokingqandqdiabetes Aq 70 - yearqoldqhouseqpainterqreportsqaq 4 - weekqhistoryqofqexertionalqdyspnea,qchestqtightness,qandqcoughqforqtheqpastq 3 qmonths.qHeqhasqnev erqsmoked.qWhatqdiagnosesqareqincludedqinqyourqdifferential?qSelectq4. A)qAsthma B)qAngina C)qCOPD D)qGERD E)qPneumonia F)qTuberculosis G)qHeartqFailureq-qCORRECTqANSWER-B)qAngina C)qCOPD F)qTuberculosis G)qHeartqfailure Aq 72 - yearqoldqmanqpresentsqatqanqearlyqstageqofqOAqinqhisqleftqknee.qHeqmentionsqthatqheqheardqaboutqth eqbenefitsqofqusingqglucosamineqandqchondroitinqforqtreatingqjointqproblems.qInqconsultingqtheqpati ent,qyouqmentionqallqofqtheqfollowingqexcept A)qanyqbenefitqcanqtakeqatqleastq 3 qmonthsqofqconsistentquseqbeforeqobserved B)qglucosamineqisqnotqassociatedqwithqanqdrugqinteractions C)qclinicalqstudiesqhaveqconsistentlyqshownqbenefitqofqlong- termquseqofqglucosamineqandqchondroitinqforqtreatingqOAqofqtheqknee D)qchrondroitinqshouldqbequsedqwithqcautionqbecauseqofqitsqantiplateletqeffectq- qCORRECTqANSWER-C)qclinicalqstudiesqhaveqconsistentlyqshownqbenefitqofqlong- termquseqofqglucosamineqandqchondroitinqforqtreatingqOAqofqtheqknee
Aq 75 - yearqoldqpatientqwasqdiagnosedqwithqhypothyroidismqtoday.qHerqcalculatedqlevothyroxineqreplacem entqisq 88 qmcgqdaily.qHowqshoulderqherqlevothyroxineqdoseqbeqmanaged? A)qReferqtoqendocrinology B)qStartqLevothyroxineq 25 qmcgqdaily C)qStartqLevothyroxineq 44 qmcgqdaily D)qStartqLevothyroxineq 50 qmcgqdailyq-qCORRECTqANSWER-B)qStartqLevothyroxineq 25 qmcgqdaily Olderqpatientsqandqthoseqwithqunderlyingqcardiacqissuesqorqmultipleqcomorbiditesqshouldqstartqlowq andqtitrateqslowly Aq 77 - yearqoldqfemaleqwithqnewlyqdiagnosedqT2DMqandqĀ1Cqofq9.5%. 1)qWhatqisqherqĀ1Cqgoal? 2)qWhatqoccurrenceqshouldqbeqavoidedqifqatqallqpossible? 3)qWhatqage-relatedqprescribingqstrategyqwouldqyouqconsiderqinqthisqpatientqwithqanqĀ1Cqofq9.5%?q- qCORRECTqANSWER-1)q<q8% 2)qHypoglycemia 3)qMonotherapyq(olderqadultqpatient) Aq 78 - yearqoldqfemaleqhowqisqaqretiredqschoolqteacherqhasqbeenqdiagnosedqwithqmitralqstenosis.qWhatqwo uldqyouqexpectqinqlisteningqtoqtheqmurmur? A)qAqlateqsystolicqclickqnearqtheqapex B)qRadiationqofqsoftqdiastolicqsoundsqintoqtheqneck/carotidqarteries C)qDiastolicqsoundsqheardqloudestqatqtheqapex D)qSoftqdiastolicqsoundsqinqtheqleftqmid-clavicularqareaq-qCORRECTqANSWER- C)qDiastolicqsoundsqheardqloudestqatqtheqapex Aqchildqmustqconsumeq____qoz.qofqfortifiedqmilkqeachqdayqtoqreceiveqtheqrecommendedq 400 qIUqdailyq ofqvitaminqD. A)q 8 B)q 16 C)q 32 D)q 48 q-qCORRECTqANSWER-C)q 32 qoz Aqcommonqinfectiveqagentqinqdomesticqpetqcatqbitesqis
Aqpatientqhasqaqfundalqheightqmeasurementqofq 24 qcm.qSheqisqprobablyqabout A)q 14 - 18 qweeksqgestationalqage B)q 18 - 22 qweeksqgestationalqage C)q 22 - 26 qweeksqgestationalqage D)qInqherq3rdqtrimesterq-qCORRECTqANSWER-C)q 22 - 26 qweeksqgestationalqage Aqpatientqhasqhypothyroidism.qHerqlastqTSHqwasq2.5.qSheqtakesqherqlevothyroxineqinqtheqAMqonqanqe mptyqstomach.qWhatqwillqhappenqtoqherqTSHqifqsheqswtichesqtoqaqGENERICqformqofqlevothyroxine?q- qCORRECTqANSWER-TSHqcouldqgoqup,qorqdown,qorqstayqtheqsame... Aqpatientqhasqhypothyroidism.qHerqlastqTSHqwasq2.5.qSheqtakesqherqlevothyroxineqinqtheqAMqonqanqe mptyqstomach.qWhatqwillqhappenqtoqherqTSHqifqsheqtakesqtheqlevothyroxineqafterqdinner?q- qCORRECTqANSWER-TSHqwillqINCREASEq(dueqtoqdecreasedqabsorptionqofqlevothyroxine) Aqpatientqhasqhypothyroidism.qHerqlastqTSHqwasq2.5.qSheqtakesqherqlevothyroxineqinqtheqAMqonqanqe mptyqstomach.qWhatqwillqhappenqtoqherqTSHqifqsheqtakesqtheqlevothyroxineqwithqanqOTCqPPI?q- qCORRECTqANSWER-TSHqwillqINCREASEq(PPIsqincreaseqgastricqacidqandqaffectqabsorption) Aqpatientqhasqhypothyroidism.qHerqlastqTSHqwasq2.5.qSheqtakesqherqlevothyroxineqinqtheqAMqonqanqe mptyqstomach.qWhatqwillqhappenqtoqherqTSHqifqsheqtakesqtheqlevothyroxineqwithqherqmorningqcoffee ?q-qCORRECTqANSWER-TSHqwillqINCREASE Aqpatientqhasqhypothyroidism.qHerqlastqTSHqwasq2.5.qSheqtakesqherqlevothyroxineqinqtheqAMqonqanqe mptyqstomach.qWhatqwillqhappenqtoqherqTSHqifqsheqtakesqtwoqpillsqinsteadqofqone?q- qCORRECTqANSWER-TSHqwillqDECREASE Aqpatientqpresentsqwithqpainful,qblisteringqthermalqburnsqonqhisqrightqhandqinvolvingqtheqthumb,qind ex,qandqmiddleqfingers.qTheqmostqappropriateqplanqofqcareqisqtoq A)qapplyqanqanestheticqcreamqtoqtheqareaqandqopenqtheqblisters B)qapplyqsilverqsulfadiazineq(Silvadene)qtoqtheqareaqfollowedqbyqaqbulkyqdressing C)qreferqtheqpatientqtoqaqburnqspecialist D)qwrapqtheqburnqlooselyqwithqaqnonadherentqdressingqandqprescribeqanqanalgesicq- qCORRECTqANSWER-C)qreferqtheqpatientqtoqaqburnqspecialist
AqpatientqwhoqcomplainsqofqfatigueqhasqaqTSHqofq13.4q(normalq0.4- 4.8qmU/ml).qWhatqshouldqbeqdoneqnext? A)qOrderqaqTSHqnextqweek B)qOrderqaqthyroidqpanel C)qRepeatqtheqTSHqandqaddqaqfreeqT D)qPrescribeqlevothyroxineq-qCORRECTqANSWER-C)qRepeatqtheqTSHqandqaddqaqfreeqT AqpatientqwhoqtakesqfosinoprilqforqHTNqhasqbeenqdiagnosedqwithqACE- inhibitorqcough.qWhichqofqtheqfollowingqstatementsqisqtrue? A)qHeqcouldqswitchqtoqlisinopril B)qThisqcoughqisqmoreqlikelyqinqpatientsqwithqlowerqairwayqdisease C)qHisqcoughqshouldqimproveqoverqtime D)qTheqcoughqisqrelatedqtoqanqinabilityqtoqbreakqdownqbradykininq-qCORRECTqANSWER- D)qTheqcoughqisqrelatedqtoqanqinabilityqtoqbreakqdownqbradykinin Aqpatientqwithqasthmaqsymptomsqdailyqwithqoccasionalqnighttimeqawakeningsqhas A)qIntermittentqasthma B)qMildqpersistentqasthma C)qModerateqpersistentqasthma D)qSevereqpersistentqasthmaq-qCORRECTqANSWER-C)qModerateqpersistentqasthma Aqpatientqwithqasthmaqsymptomsqlessqthanqtwiceqaqweekqhas A)qIntermittentqasthma B)qMildqpersistentqasthma C)qModerateqpersistentqasthma D)qSevereqpersistentqasthmaq-qCORRECTqANSWER-A)qIntermittentqasthma Aqpatientqwithqasthmaqsymptomsqmoreqthanqtwiceqaqweek,qbutqnotqdailyqwithqoccasionalqnighttimeq awakeningsqhas A)qIntermittentqasthma B)qMildqpersistentqasthma C)qModerateqpersistentqasthma D)qSevereqpersistentqasthmaq-qCORRECTqANSWER-B)qMildqpersistentqasthma
Aqpreparticipationqphysicalqscreeningqexamqshouldqinclude A)qCBC B)qUA C)qBPqmeasurement D)qspineqxrayq-qCORRECTqANSWER-C)qBPqmeasurement Aqriskqfactorqforqpostpartumqpsychosisqis A)qhistoryqofqdepression B)qmultipleqbirthsq(e.g.qtwins,qtriplets) C)qhistoryqofqbipolarqdisorder D)qillegalqdrugquseq-qCORRECTqANSWER-C)qhistoryqofqbipolarqdisorder AqStillqmurmurq A)qisqanqindicationqtoqrestrictqsportsqparticipationqselectively B)qhasqaqbuzzingqquality C)qisqusuallyqheardqinqpatientsqwhoqexperienceqdizzinessqwhenqexercising D)qisqaqsignqofqcardiacqstructuralqabnormalityq-qCORRECTqANSWER-B)qhasqaqbuzzingqquality
- alsoqknownqasqaq"vibratoryqinnocentqmurmur,"qaqbenignqfinding AqTzanckqsmearqthatqisqpositiveqforqgiantqmultinucleatedqcellsqwasqtakenqfromqaqlesionqcausedqbyq A)qherpesqvirus B)qS.qaureus C)qstreptococci D)qanqallergicqreactionq-qCORRECTqANSWER-A)qherpesqvirus Acanthosisqnigricansqisqcommonlyqnotedqinqallqofqtheqfollowingqareasqexceptq A)qgroinqfolds B)qaxilla C)qnapeqofqtheqneck D)qfaceq-qCORRECTqANSWER-D)qface AccordingqtoqGOLD,qwhatqisqrequiredqtoqestablishqtheqdiagnosisqofqCOPD?q-qCORRECTqANSWER- Spirometryq(FEV1/FVCqratioq<q70%)
AccordingqtoqtheqCDC,qwhatqdrugqclassqisqconsideredqfirst-lineqtreatmentqforqpertussis? A)qSulfonamide B)qTetracycline C)qMacrolide D)qBeta-lactamq-qCORRECTqANSWER-C)qMacrolideqantiobiticq(e.g.qAzithromycin,qclarithromycin Sulfonamidesqareqsecond-line ACOGqandqAMAqrecommendqroutingqscreeningqofqallqpregnantqwomenqforqdomesticqviolenceqatqeve ryqprenatalqvisit.qWhichqcharacteristicqbelowqisqnotqsuggestiveqofqdomesticqviolence? A)qimprobableqinjury B)qmissedqprenatalqvisits C)qunsupportiveqpartner D)qseekingqprenatalqcareqlateq(afterq 14 qweeks)q-qCORRECTqANSWER-C)qunsupportiveqpartnerq ...asqopposedqtoqanqoverprotectiveqpartner Afterquse,qtheqonsetqofqactionqofqlisproq(Humalog)qoccursqinq A)qlessqthanq 30 qminutes B)qapproximatelyq 1 qhour C)q 1 - 2 qhours D)q 3 - 4 qhoursq-qCORRECTqANSWER-A)qlessqthanq 30 qminutes Allqofqtheqfollowingqareqrisksqforqlacticqacidosisqinqindividualsqtakingqmetformin,qexcept A)qtheqpresenceqofqchronicqrenalqinsufficiency B)qacuteqdehydration C)qrecentquseqofqradiographicqcontrastqdye D)qhistoryqofqallergicqreactionqtoqsulfonamidesq-qCORRECTqANSWER- D)qhistoryqofqallergicqreactionqtoqsulfonamides Allqofqtheqfollowingqcanqcauseqanqelevatedqmaternalqalpha-fetoproteinq(AFP)qexcept A)qunderestimatedqgestationalqage B)qopenqneuralqtubeqdefect C)qmeningomyelocele
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