#05 Flashcards
Which one of the following is pathognomonic for Graves disease as the underlying cause of hyperthyroidism?
A. Hyperdefecation.
B. Tachycardia.
C. Tremor.
D. Pretibial myxedema.
D. Pretibial myxedema.
Which one of the following can cause a patient’s laboratory test results to mimic hyperthyroidism?
A. Critical illness.
B. Pregnancy.
C. Exogenous dopamine administration.
D. All of the above.
D. All of the above.
Which one of the following physical examination findings reliably excludes severe aortic stenosis?
A. Harsh, late-peaking systolic murmur.
B. Holosystolic murmur.
C. Murmur radiating to the apex.
D. Normally split second heart sound.
D. Normally split second heart sound.
How frequently should echocardiography be performed in an asymptomatic patient with moderate aortic stenosis?
A. Every six to 12 months.
B. Every one to two years.
C. Every three to five years.
D. Every other month.
B. Every one to two years.
Which one of the following findings in a woman with pelvic pain warrants further evaluation to rule out systemic disease or malignancy?
A. Pain with urge to void.
B. Postcoital bleeding.
C. Pain increasing at the time of her menstrual cycle.
D. Unexplained weight gain.
B. Postcoital bleeding.
Which one of the following statements about the treatment of chronic pelvic pain is correct?
A. Oral contraceptives are beneficial for noncyclic pelvic pain.
B. Selective serotonin reuptake inhibitors are indicated for neuropathic causes of pelvic pain.
C. Tricyclic antidepressants are indicated for underlying depression in women with pelvic pain.
D. Long-term use of opioids for chronic pelvic pain is controversial.
D. Long-term use of opioids for chronic pelvic pain is controversial.
Which one of the following statements about the effect of contraceptive use in the postpartum period is correct?
A. The timing of levonorgestrel-releasing intrauterine system (Mirena) insertion (i.e., in the first few minutes postpartum vs. at four weeks postpartum) affects the length of time that a woman will breastfeed.
B. Head-to-head trials show a difference in breastfeeding duration between patients taking combined oral contraceptives and those taking progestin-only pills.
C. A mother’s use of any type of hormonal contraception negatively impacts her infant’s growth rate.
D. The Centers for Disease Control and Prevention recommends avoiding combined oral contraception in patients less than 21 days postpartum because of the risk of venous thromboembolism.
D. The Centers for Disease Control and Prevention recommends avoiding combined oral contraception in patients less than 21 days postpartum because of the risk of venous thromboembolism.
Which one of the following transitional care interventions reduces three- to six-month readmission rates from all causes in adult patients recently hospitalized for heart failure?
A. Telemonitoring.
B. Nurse-led heart failure clinics.
C. Home visiting programs.
D. Structured telephone support.
C. Home visiting programs.
