#09 Flashcards

1
Q

Which one of the following statements about panic disorder (PD) is correct?

A. The most common physical symptom of panic attacks is palpitations.

B. To make a diagnosis of PD, a triggering event must be identified.

C. PD manifests as excessive anxiety about ordinary, day-to-day situations.

D. Medication is the only effective treatment.

A

A. The most common physical symptom of panic attacks is palpitations.

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2
Q

Which one of the following statements about nonpharmacologic interventions used to treat anxiety disorders is correct?

A. Caffeine has a paradoxical soothing effect.

B. Rebound anxiety tends to be more severe with psychotherapy than with medication.

C. Patients with PD are usually resistant to compassionate listening and education.

D. Structured cognitive behavior therapy is an effective treatment.

A

D. Structured cognitive behavior therapy is an effective treatment.

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3
Q

Which one of the following is considered first-line therapy for both generalized anxiety disorder and PD?

A. Benzodiazepines.

B. Selective serotonin reuptake inhibitors.

C. Antipsychotics.

D. Tricyclic antidepressants.

A

B. Selective serotonin reuptake inhibitors.

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4
Q

A patient presents asking to initiate hormonal contraception. Which one of the following statements is correct?

A. A full physical examination is necessary.

B. Cervical cytology should be performed.

C. Progestin-only products should be avoided if the patient is obese.

D. Blood pressure should be assessed.

A

D. Blood pressure should be assessed.

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5
Q

Which one of the following recommendations about contraception is correct?

A. Combined hormonal contraception should be initiated no earlier than three or up to six weeks postpartum.

B. Follicle-stimulating and luteinizing hormone levels should be measured to determine when to discontinue oral contraceptives in perimenopausal women.

C. In women who are obese, emergency contraception, especially ulipristal (Ella), should be avoided.

D. The intrauterine device is contraindicated in adolescents.

E. Irregular bleeding usually requires a change in contraceptive method.

A

A. Combined hormonal contraception should be initiated no earlier than three or up to six weeks postpartum.

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6
Q

Which one of the following statements about calcium supplementation is correct?

A. When started in childhood, it significantly improves bone mineral density.

B. It increases the risk of kidney stones.

C. It decreases the risk of cardiovascular events.

D. It significantly reduces risk of hip fracture in noninstitutionalized persons.

A

B. It increases the risk of kidney stones.

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7
Q

Which one of the following statements about dietary fat intake is correct?

A. Reducing saturated fats significantly decreases the risk of cardiovascular-related mortality.

B. Consuming whole foods containing saturated fats, such as dairy products, significantly increases the risk of type 2 diabetes mellitus.

C. Higher-fat diets may produce and sustain as much or more weight loss than lower-fat diets.

D. Saturated fats should be avoided, regardless of the food source.

A

C. Higher-fat diets may produce and sustain as much or more weight loss than lower-fat diets.

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8
Q

A 58-year-old woman asks for advice about dietary options to help with constipation. Which one of the following statements about fiber is correct?

A. Functional fiber is as effective as dietary fiber.

B. Dietary fiber is associated with an increased risk of breast cancer.

C. Functional fiber aids in absorption of important nutrients.

D. Dietary fiber from whole foods may help prevent constipation, as well as cardiovascular disease and diabetes.

A

D. Dietary fiber from whole foods may help prevent constipation, as well as cardiovascular disease and diabetes.

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