Question 1.Question : Which of the following is a crucial element of developing a guideline? Student Answer: Creating a physician expert panel Reviewing the literature with ratings of available evidence Conducting an external review of a guideline Developing evidence-based tables Points Received: 2 of 2 Comments: Question 2.Question : African American patients seem to have a negative reaction to which of the following asthma medications? Student Answer: Inhaled corticosteroids Long-term beta-agonist bronchodilators Leukotriene receptor agonists Oral corticosteroids Points Received: 2 of 2 Comments: Question 3.Question : Jolene has breast cancer that has been staged as T1, N0, M0. What might this mean? Student Answer: The tumor size cannot be evaluated; the cancer has not spread to the lymph nodes; and the distant spread cannot be evaluated. The cancer is in situ; it is spreading into the lymph nodes, but the spread cannot be evaluated otherwise. The cancer is less than 2 cm in size and has not spread to the lymph nodes or other parts of the body. The cancer is about 5 cm in size; nearby lymph nodes cannot be evaluated; and there is no evidence of distant spreading. Points Received: 2 of 2 Comments: Question 4.Question : Sondra's peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear? Student Answer: Meclizine Diphenhydramine Diamox Diamox Promethazine Points Received: 0 of 2 Comments: Question 5.Question : Mandy presents with a cauliflower-like wart in her anogenital region. You suspect it was sexually transmitted and document this as a: Student Answer: Filiform/digitate wart Dysplastic cervical lesion Condyloma acuminata Koilocytosis Points Received: 2 of 2 Comments: Question 6.Question : Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of? Student Answer: Dementia Alzheimer's disease Parkinson's disease Delirium Points Received: 2 of 2 Comments: Question 7.Question : You have taught Jennifer, age 15, about using a flow meter to assess how to manage her asthma exacerbations. She calls you today because her peak expiratory flow rate is 65%. What would you tell her? Student Answer: "Take your short-acting beta-2 agonist, remain quiet, and call back tomorrow." "Use your rescue inhaler, begin the prescription of oral glucocorticoids you have, and call back tomorrow." "Drive to the emergency room now." "Call 911." Points Received: 2 of 2 Comments: Question 8.Question : A patient is seen in the clinic with hematuria confirmed on microscopic examination. The clinician should inquire about the ingestion of which of these substances that might be the cause of hematuria? Student Answer: NSAIDs NSAIDs Beets Vitamin A Red meat Points Received: 2 of 2 Comments: Question 9.Question : Which of the following is an example of tertiary prevention in a patient with chronic renal failure? Student Answer: Fluid restriction Hemodialysis 4 days a week High-protein diet Maintenance of blood pressure at 120/80 Points Received: 2 of 2 Comments: Question 10.Question : Which of the following conditions is associated with cigarette smoking? Student Answer: Glaucoma Increased sperm quality Bladder cancer Eczema Points Received: 0 of 2 Comments: Question 11.Question : A chronic cough lasts longer than: Student Answer: 3 weeks 1 month 6 months 1 year Points Received: 0 of 2 Comments: Question 12.Question : The 'freezing phenomenon' is a cardinal feature of? Student Answer: Parkinson's disease Alzheimer's disease A CVA Bell's palsy Points Received: 0 of 2 Comments: Question 13.Question : When administered at the beginning of an attack, oxygen therapy may help this kind of headache? Student Answer: Tension Migraine Cluster Stress Points Received: 0 of 2 Comments: Question 14.Question : Which ethnic group has the highest lung cancer incidence and mortality rates? Student Answer: African American men Scandinavian men and women Caucasian women Asian men Points Received: 0 of 2 Comments: Question 15.Question : The most significant precipitating event leading to otitis media with effusion is: Student Answer: Pharyngitis Allergies Viral upper respiratory infection (URI) Perforation of the eardrum Points Received: 2 of 2 Comments: Question 16.Question : Samuel is going to the dentist for some work and must take endocarditis prophylaxis because of his history of: Student Answer: Severe asthma A common valvular lesion Severe hypertension A prosthetic heart valve Points Received: 0 of 2 Comments: Question 17.Question : A 34-year-old patient was treated for a UTI and has not responded to antibiotic therapy. Which of the following actions should be taken next? Student Answer: Send a urine specimen for microscopy and evaluate for fungal colonies. fungal colonies


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