#10 Flashcards
Which one of the following is the initial imaging choice for suspected appendicitis in children?
A. Magnetic resonance imaging.
B. Ultrasonography.
C. Abdominal radiography.
D. Computed tomography.
B. Ultrasonography.
Which one of the following statements about abdominal pain in children is correct?
A. Surgical intervention is required for most causes of abdominal pain in children.
B. The triad of colicky abdominal pain, vomiting, and bloody stool is present in most cases of intussusception.
C. Appendicitis prediction rules overestimate by about 30%.
D. Visceral pain receptors tend to produce sharp, focal pain.
C. Appendicitis prediction rules overestimate by about 30%.
Which one of the following most likely indicates the need for surgical intervention in children with abdominal pain?
A. Chronic intermittent pain.
B. Watery diarrhea.
C. Pain relieved with bowel movements.
D. Absent bowel sounds.
D. Absent bowel sounds.
Which one of the following statements about the prognosis for sarcoidosis is correct?
A. The disease continues to progress, with few patients experiencing remission.
B. Remission usually occurs after 10 to 20 years.
C. Remission is common within the first two years of diagnosis.
D. Disease is less severe and remission is more likely in black patients.
C. Remission is common within the first two years of diagnosis.
Which one of the following statements about the diagnosis of sarcoidosis is correct?
A. Up to one-half of patients present with respiratory symptoms.
B. Diagnosis in asymptomatic patients is rare.
C. Angiotensin-converting enzyme levels are highly specific and should be measured if sarcoidosis is suspected.
D. Tuberculin skin testing is more sensitive than interferon gamma release assay for identifying latent tuberculosis infection.
A. Up to one-half of patients present with respiratory symptoms.
Which one of the following statements about the treatment of sarcoidosis is correct?
A. Use of oral corticosteroids has been shown to reduce mortality.
B. Use of oral corticosteroids is indicated only for stage IV disease.
C. Use of oral corticosteroids has no effect in stage II or III disease.
D. Use of oral corticosteroids improves chest radiography findings and may improve global symptom scores.
D. Use of oral corticosteroids improves chest radiography findings and may improve global symptom scores.
Peripartum depression is most strongly associated with the presence of which one of the following risk factors?
A. Age of 35 years or older.
B. Fear of childbirth.
C. History of depression.
D. Unintended pregnancy.
C. History of depression.
Which one of the following screening tests is preferable to identify peripartum depression in primary care?
A. Edinburgh Postnatal Depression Scale.
B. Patient Health Questionnaire-9.
C. Postpartum Depression Screening Scale.
D. No test is universally preferred.
D. No test is universally preferred.
In addition to psychotherapy, which one of the following nonpharmacologic treatments is effective for severe peripartum depression?
A. Electroconvulsive therapy.
B. Exercise.
C. Hypnosis.
D. Home visits by community health care workers, regardless of training.
A. Electroconvulsive therapy.
The U.S. Preventive Services Task Force found convincing evidence that achievement of tobacco cessation in pregnant women results in which one of the following outcomes?
A. Improved infant Apgar scores.
B. Increased infant birth weight.
C. Increased infant head circumference at birth.
D. Decreased rates of cesarean delivery.
B. Increased infant birth weight.
Which one of the following medications is considered first-line therapy for breast pain?
A. Oral nonsteroidal anti-inflammatory drugs.
B. Topical nonsteroidal anti-inflammatory drugs.
C. Combined oral contraceptives.
D. Goserelin.
B. Topical nonsteroidal anti-inflammatory drugs.
