#1 Flashcards
Which one of the following is the recommended first-line antibiotic for nonallergic patients with group A beta-hemolytic streptococcal (GABHS) pharyngitis?
A. Erythromycin.
B. Azithromycin (Zithromax).
C. Penicillin.
D. Amoxicillin/clavulanate (Augmentin).
C. Penicillin.
Which one of the following approaches is recommended for patients with suspected GABHS pharyngitis and a modified Centor score of 2?
A. Neither test nor treat.
B. Order rapid antigen detection testing and treat accordingly.
C. Treat empirically with an antibiotic.
D. Have the patient return in two days for repeat testing if still symptomatic.
B. Order rapid antigen detection testing and treat accordingly.
Which one of the following is not characteristic of GABHS pharyngitis?
A. Absence of cough.
B. Posterior cervical adenopathy.
C. Tonsillar exudates.
D. Fever.
B. Posterior cervical adenopathy.
According to current performance measures, in a patient who has a cardiac condition that does not require hospitalization, what is the maximum amount of time that can pass between diagnosis and referral for cardiac rehabilitation?
A. One month.
B. Two months.
C. Six months.
D. 12 months.
D. 12 months.
According to current performance measures, which one of the following patients would not be considered a candidate for participation in a cardiac rehabilitation program?
A. A patient who just underwent coronary artery bypass surgery and is nearing the end of hospitalization.
B. A patient who had a myocardial infarction eight months ago.
C. A patient who has heart failure with reduced left ventricular ejection fraction.
D. A patient who lives more than an hour from where the program is held.
D. A patient who lives more than an hour from where the program is held.
A 35-year-old man with an acute vertebral compression fracture from falling off a couch is found to have osteoporosis after dual energy x-ray absorptiometry. Which one of the following tests should be performed?
A. Serum protein electrophoresis.
B. Blood culture.
C. Magnetic resonance imaging.
D. Testosterone level.
D. Testosterone level.
Which one of the following medications has good evidence that it relieves pain and improves mobilization after a vertebral compression fracture in neurologically intact patients?
A. Muscle relaxants.
B. Calcitonin.
C. Nonsteroidal anti-inflammatory drugs.
D. Acetaminophen.
B. Calcitonin.
Which one of the following statements about honey for the treatment of acute cough in children is correct?
A. Honey reduces cough frequency compared with no treatment.
B. Honey and placebo are equally effective at reducing cough frequency.
C. Dextromethorphan decreases cough frequency better than honey.
D. Good-quality evidence demonstrates that honey decreases the number of days an acute cough will last.
A. Honey reduces cough frequency compared with no treatment.
Which one of the following statements about the use of intermittent inhaled corticosteroid therapy at the time of asthma exacerbation in patients with mild persistent asthma is correct?
A. It has been shown to reduce the need for oral corticosteroids in the combined data from two trials of school-aged children and adults.
B. It has been shown to reduce the need for oral corticosteroids in preschool-aged children.
C. It is not associated with more adverse effects than placebo.
D. All of the above.
D. All of the above.
Which one of the following statements about the American Psychiatric Association’s (APA’s) recommendations for psychiatric evaluation of adults is correct?
A. Past psychiatric diagnoses rarely affect new diagnoses during the evaluation.
B. Substance use disorders are typically distinct from psychiatric disorders.
C. Quantitative measures of symptoms can improve clinical decision making and treatment outcomes.
D. History of suicide in family members does not affect a person’s suicide risk.
C. Quantitative measures of symptoms can improve clinical decision making and treatment outcomes.
