l******p
发帖数: 71 | 1 1. A 16-year-old girl comes to the clinic because of vaginal itching for
the past 5 days. She requests that her parents not be informed about the
appointment. During the examination, she says she occasionally has
unprotected sexual intercourse and asks for oral contraceptives. Preliminary
laboratory studies show gram-negative diplococci. Which of the following is
the most appropriate next step in patient care?
A) Consult a colleague for advice about treating a minor without parental
consent
B) Discuss with her the need for testing her for other sexually transmitted
diseases
C) Interview her sexual partners
D) Notify her parents of the findings
E) Treat her infection and refer her to social services
2. A 60-year-old woman comes to the physician because of a 6-month history
of pain in her hips and knees. Physical examination shows findings
consistent with osteoarthritis, and the physician recommends ibuprofen. The
patient refuses and asks about taking glucosamine. Which of the following
responses by the physician is most appropriate?
A) "Glucosamine hasn't been studied well enough for me to recommend it."
B) "Glucosamine's side effects aren't listed. It may be more dangerous than
we realize."
C) "Ibuprofen has been proven effective for your condition."
D) "What have you heard about using glucosamine to treat arthritis?"
E) "Why did you come to me if you don't want to take what I recommend?"
F) "You should really see a naturopathic doctor."
3. A 75-year-old woman comes to the physician because of a 3-month history
of an enlarging lesion on her face. Physical examination shows a 1.5-cm,
brown-black, mottled, scaly lesion with irregular borders. Microscopic
examination of a biopsy specimen of the lesion shows atypical melanocytes
spread along the basilar layer of the epidermis. Which of the following is
the most likely cause of these findings?
A) Acanthosis nigricans
B) Actinic keratosis
C) Compound nevus
D) Lentigo maligna
E) Seborrheic keratosis
4. A 17-year-old girl with renal disease undergoes regular dialysis and is
awaiting kidney transplantation. She is often angry and occasionally misses
dialysis appointments. Which of the following actions by the physician is
most likely to improve her cooperation?
A) Review criteria for remaining on transplant list
B) Provide more time to talk with the physician
C) Consult with a mental health professional
D) Prescribe antidepressant therapy
E) Arrange for institutional care
5. A 15-year-old boy is brought to the physician because of right wrist
pain that began when he landed on his hands after falling backward while
skateboarding 4 hours ago. Examination of the right upper extremity shows no
bone deformities of the wrist. There is point tenderness to palpation of
the radial aspect of the wrist between the abductor pollicis longus and
extensor pollicis brevis tendons. This patient is at increased risk for
which of the following sequelae as a result of this injury?
A) Avascular necrosis of the proximal aspect of the scaphoid bone
B) Damage to the median nerve
C) Damage to the ulnar nerve
D) Rupture of the flexor carpi ulnaris tendon
E) Spiral fracture of the ulna
F) Subluxation of the distal aspect of the trapezium bone
| a*********8
发帖数: 296 | | u**********3
发帖数: 83 | 3 BDDBA
Preliminary
is
transmitted
【在 l******p 的大作中提到】
: 1. A 16-year-old girl comes to the clinic because of vaginal itching for
: the past 5 days. She requests that her parents not be informed about the
: appointment. During the examination, she says she occasionally has
: unprotected sexual intercourse and asks for oral contraceptives. Preliminary
: laboratory studies show gram-negative diplococci. Which of the following is
: the most appropriate next step in patient care?
: A) Consult a colleague for advice about treating a minor without parental
: consent
:
: B) Discuss with her the need for testing her for other sexually transmitted
| l******p
发帖数: 71 | 4 I think your answers are correct. |
|
