#10 Flashcards
Which one of the following is a good initial option for the treatment of knee osteoarthritis?
A. Viscosupplementation (hyaluronic acid injections).
B. Glucosamine/chondroitin supplementation.
C. Lateral wedge inserts.
D. Weight loss for overweight patients.
D. Weight loss for overweight patients.
Which of the following statements about the treatment of patellofemoral pain syndrome are correct?
(check all that apply)
A. Active rehabilitation has not been proven effective.
B. Patellar taping has mixed evidence of benefit.
C. Foot orthoses are effective in patients with anterior knee pain.
D. Nonsteroidal anti-inflammatory drugs are effective in the short term.
B. Patellar taping has mixed evidence of benefit.
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C. Foot orthoses are effective in patients with anterior knee pain.
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D. Nonsteroidal anti-inflammatory drugs are effective in the short term.
Which one of the following is recommended for cleansing or dressing pressure ulcers?
A. Wet-to-dry dressings.
B. Povidone-iodine (Betadine) solution.
C. Normal saline.
D. Hydrogen peroxide.
C. Normal saline.
Which one of the following statements about a pressure ulcer with visible exposed bone is correct?
A. Biopsy is required to confirm the diagnosis of osteomyelitis.
B. Topical antibiotics should be applied twice daily.
C. Superficial wound culture should always be obtained.
D. A diagnosis of osteomyelitis can be made presumptively.
D. A diagnosis of osteomyelitis can be made presumptively.
Which of the following are supported by at least moderate-strength evidence for the treatment of pressure ulcers?
(check all that apply)
A. Light therapy.
B. Air-fluidized beds.
C. Electrical stimulation.
D. Radiant heat dressings.
B. Air-fluidized beds.
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C. Electrical stimulation.
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D. Radiant heat dressings.
A 22-year-old man with a recent diagnosis of mild obsessive-compulsive disorder (OCD) returns to your office for a follow-up appointment. He began taking a low dose of sertraline (Zoloft) six weeks ago, which was titrated up to the maximal dose. He has been on this dose for two weeks. He reports no improvement in symptoms. Which one of the following is the best next step in the treatment of this patient?
A. Refer him to a psychiatrist for treatment resistance.
B. Continue sertraline therapy at the maximal dose.
C. Switch to a different selective serotonin reuptake inhibitor.
D. Add an atypical antipsychotic.
B. Continue sertraline therapy at the maximal dose.
A 28-year-old woman with moderate OCD presents to your office for follow-up. She has been on the maximal dose of fluoxetine (Prozac) for eight weeks and reports that she still spends several hours each day engaged in compulsions, and frequent intrusive thoughts continue to disrupt her ability to function at work. Which one of the following is the most appropriate next step?
A. Add cognitive behavior therapy.
B. Add a serotonin-norepinephrine reuptake inhibitor.
C. Add clomipramine (Anafranil).
D. Add an atypical antipsychotic.
A. Add cognitive behavior therapy.
Which one of the following characteristics is consistent with a diagnosis of OCD based on Diagnostic and Statistical Manual of Mental Disorders, 5th ed., criteria?
A. Obsessive symptoms can be explained by a generalized anxiety disorder.
B. Obsessions are generally fleeting and occur less than 30 minutes a day.
C. The symptoms are usually attributable to the effects of a drug.
D. Repetitive behaviors and mental acts are usually unrealistic ways to address the obsession.
D. Repetitive behaviors and mental acts are usually unrealistic ways to address the obsession.
Which one of the following is the recommended initial imaging study for a limping child who has no obvious cause or localized findings on physical examination?
A. Plain radiography of both lower extremities.
B. Ultrasonography of both hips to evaluate for effusion.
C. Bone scintigraphy.
D. Magnetic resonance imaging.
A. Plain radiography of both lower extremities.
Which one of the following physical examination findings in a child is most suggestive of septic arthritis?
A. Positive Trendelenburg test.
B. Hip flexed and externally rotated.
C. Positive Galeazzi sign.
D. Positive psoas sign.
B. Hip flexed and externally rotated.
Tendinopathy as the cause of acute limp is most likely in a child at which one of the following ages?
A. 18 months.
B. Four years.
C. Eight years.
D. 15 years.
D. 15 years.
Which one of the following topical treatments for scabies is most likely to be effective?
A. Malathion.
B. Permethrin.
C. Benzyl benzoate.
D. Sulfur compounds.
B. Permethrin.
According to the U.S. Preventive Services Task Force, early interventions for children with speech and language delays and disorders have been found to improve which one of the following outcomes?
A. Academic achievement.
B. Behavioral competence.
C. Socioemotional development.
D. Speech development.
E. Quality of life.
D. Speech development.
