#02 Flashcards
After how long should an average-risk patient with an initial normal glucose test result be rescreened for type 2
diabetes mellitus?
A. One year.
B. Two years.
C. Three years.
D. Four years.
E. Five years.
C. Three years.
Which one of the following factors can falsely elevate A1C levels?
A. Hypertriglyceridemia.
B. Acute blood loss.
C. Pregnancy.
D. Chronic liver disease.
A. Hypertriglyceridemia.
Which one of the following tests is indicated in all men suspected of having acute bacterial prostatitis?
A. Chlamydia and gonorrhea testing.
B. Postvoid residual urine test.
C. Meares-Stamey 2-glass test.
D. Midstream urine culture.
D. Midstream urine culture.
In a hospitalized patient who remains febrile 36 hours after starting intravenous antibiotics for acute bacterial prostatitis, which one of the following tests is recommended to rule out a prostatic abscess?
A. Prostate biopsy.
B. Transrectal ultrasonography.
C. Noncontrast pelvic computed tomography.
D. Pelvic magnetic resonance imaging.
B. Transrectal ultrasonography.
Which one of the following statements about the management of acute bacterial prostatitis is correct?
A. Urine cultures should be repeated one week after stopping antibiotics.
B. Antibiotic duration for mild infections is five to seven days.
C. Febrile patients should become afebrile within 12 hours of initiating antibiotic therapy.
D. Most patients require hospitalization.
A. Urine cultures should be repeated one week after stopping antibiotics.
A pregnant patient has had two blood pressure readings of 140/90 mm Hg taken five hours apart at 35 weeks’ gestation. She has no signs or symptoms of severe preeclampsia. Which one of the following is an appropriate next step?
A. Administer magnesium sulfate.
B. Allow pregnancy to progress to 40 weeks.
C. Administer antihypertensive.
D. Proceed with expectant monitoring.
D. Proceed with expectant monitoring.
A pregnant patient has had two blood pressure readings of 150/90 mm Hg taken five hours apart at 18 weeks’ gestation. Which of the following management approaches are correct? (check all that apply)
A. She should be treated with angiotensin-converting enzyme inhibitors.
B. She should be monitored with serial ultrasonography after fetal viability.
C. Antihypertensive treatment should be withheld because of possible adverse perinatal outcomes.
D. If preeclampsia develops, escalating doses of thiazide diuretics should be administered.
B. She should be monitored with serial ultrasonography after fetal viability.
AND
C. Antihypertensive treatment should be withheld because of possible adverse perinatal outcomes.
Based on the U.S. Preventive Services Task Force findings, which one of the following statements about iron supplementation during pregnancy is correct?
A. There is insufficient evidence to demonstrate that routine iron supplementation during pregnancy improves intermediate maternal iron and hemoglobin levels.
B. There is insufficient evidence to demonstrate that routine iron supplementation during pregnancy improves maternal health or birth outcomes.
C. Pregnant women should routinely receive iron supplementation because there is moderate certainty that it provides a small net benefit.
D. Pregnant women should not routinely receive iron supplementation because there is moderate certainty that it has no net benefit.
B. There is insufficient evidence to demonstrate that routine iron supplementation during pregnancy improves maternal health or birth outcomes.
Surgery is superior to antibiotic treatment of acute appendicitis in adults for which one of the following outcomes?
A. Length of hospital stay.
B. Incidence of complications.
C. Recurrence within one year.
D. Quality of life.
C. Recurrence within one year.
