#03 Flashcards
Which one of the following statements about musculoskeletal ultrasonography for the diagnosis of metatarsal shaft fractures is correct?
A. Its accuracy, sensitivity, and specificity are comparable to those of traditional radiography.
B. It is useful only for distal shaft fractures.
C. It should be used only for follow-up of fractures previously confirmed by radiography.
D. Only formal ultrasonography should be used; bedside ultrasonography lacks accuracy.
A. Its accuracy, sensitivity, and specificity are comparable to those of traditional radiography.
An elite runner has an uncomplicated Jones fracture of the fifth metatarsal with no displacement. He wants to return to his training as soon as possible. Which one of the following would be the best approach to this patient?
A. Initial treatment with a short-leg non–weight-bearing cast.
B. Avoidance of weight-bearing activity for two weeks, followed by a walking cast for one month and an accelerated rehabilitation/physical therapy program.
C. Referral for surgery.
D. Standard treatment with a non–weight-bearing cast for six to eight weeks, followed by progressive weight bearing if radiography documents healing.
C. Referral for surgery.
Which one of the following statements about fertility and contraception after a solid organ transplant is correct?
A. Fertility generally decreases posttransplant.
B. It is safe to conceive during the 12 months following transplant.
C. Female transplant recipients should be encouraged to consider an intrauterine device for contraception posttransplant.
D. The risk of pregnancy complications is increased when the father is a kidney recipient.
C. Female transplant recipients should be encouraged to consider an intrauterine device for contraception posttransplant.
Which one of the following statements about disease prevention after a solid organ transplant is correct?
A. Patients should follow U.S. Preventive Services Task Force guidelines for breast, colon, and prostate cancer screening.
B. Statins are contraindicated because they interact with several immunosuppressive medications.
C. Endocarditis prophylaxis is required before dental procedures in all transplant recipients.
D. Inactivated influenza vaccine is contraindicated.
A. Patients should follow U.S. Preventive Services Task Force guidelines for breast, colon, and prostate cancer screening.
A 55-year-old woman has had severe headaches for weeks. Magnetic resonance imaging confirms a brain tumor. Which one of the following is an appropriate next step in management?
A. A fluorodeoxyglucose positron emission tomography scan to diagnose the primary cancer.
B. Computed tomography of the chest and abdomen if metastatic disease is suspected.
C. Computed tomography of the head and spine for tumor characterization.
D. Referral for radiotherapy.
B. Computed tomography of the chest and abdomen if metastatic disease is suspected.
A 72-year-old man has new-onset headaches. His wife says he seems more easily angered, is often confused, and appears frustrated when he tries to communicate. He also has some gait issues and has fallen. Magnetic resonance imaging is ordered to look for a brain tumor. In which one of the following areas is a tumor most likely to be located?
A. Parietal lobe.
B. Cerebellum.
C. Frontal lobe.
D. Occipital lobe.
C. Frontal lobe.
Which one of the following statements about the use of quinine to treat leg cramps is correct?
A. It decreases the duration of cramps vs. placebo.
B. It decreases the number of cramps vs. placebo.
C. It has no effect on the number of days with cramps in a two-week period compared with placebo.
D. It decreases the risk of gastrointestinal distress and tinnitus vs. placebo.
B. It decreases the number of cramps vs. placebo.
