#12 Flashcards
Which one of the following is the recommended initial screening test for hepatitis C virus (HCV) infection?
A. Qualitative HCV RNA.
B. Quantitative HCV RNA.
C. Anti-HCV antibody.
D. HCV genotype.
C. Anti-HCV antibody.
A 65-year-old man presents for a routine physical examination. He is in good health, has no history of intravenous drug use or blood transfusions, and has had only one sex partner for the past 30 years. What does the U.S. Preventive Services Task Force (USPSTF) recommend regarding screening for HCV infection in this patient?
A. No screening.
B. One-time screening.
C. Annual screening.
D. Biennial screening.
B. One-time screening.
Which one of the following medications for chronic HCV infection has known teratogenic effects?
A. Ribavirin (Rebetol).
B. Pegylated interferon.
C. Sofosbuvir (Solvadi).
D. Simeprevir (Olysio).
A. Ribavirin (Rebetol).
A 30-year-old man is in a long-term monogamous relationship with another man. He is currently asymptomatic. Which one of the following would be most beneficial to this patient?
A. Routine, comprehensive health care, including dialogue about smoking, substance use, behavioral health, and safer sex practices.
B. Human immunodeficiency virus (HIV) testing every three to six months.
C. Preexposure prophylaxis (PrEP) for HIV.
D. Postexposure prophylaxis (PEP) for HIV.
A. Routine, comprehensive health care, including dialogue about smoking, substance use, behavioral health, and safer sex practices.
Which one of the following statements about the care of men who have sex with men is correct?
A. PEP can be offered up to 28 days after high-risk exposure to HIV.
B. The Centers for Disease Control and Prevention recommends hepatitis A and B vaccinations if previous infection or vaccination cannot be documented.
C. Patients who engage in receptive or insertive anal sex should receive yearly anal Papanicolaou testing.
D. Monitoring for adherence to PrEP is unnecessary.
B. The Centers for Disease Control and Prevention recommends hepatitis A and B vaccinations if previous infection or vaccination cannot be documented.
Which one of the following is the most common medical cause of acute psychosis?
A. Illicit drug use.
B. Hyperthyroidism.
C. Brain tumors.
D. Temporal lobe epilepsy.
A. Illicit drug use.
Which of the following are more likely to occur in patients with primary psychotic disorders than in patients with psychosis secondary to medical conditions? (check all that apply)
A. Auditory hallucinations.
B. Visual hallucinations.
C. Complicated delusions.
D. Abnormal vital signs.
A. Auditory hallucinations.
&
C. Complicated delusions.
Based on the recommendations of the USPSTF, which one of the following statements is correct?
A. The evidence is insufficient to assess the balance of benefits and harms of primary care–based interventions to reduce drug use in adolescents.
B. There is at least moderate certainty that the harms of interventions to reduce drug use in adolescents outweigh any potential benefits.
C. The opportunity cost (time that could be spent on more effective interventions) of interventions to reduce drug use in adolescents substantially outweighs any potential benefit.
D. The USPSTF recommendation does not apply to nonmedical use of over-the-counter (nonprescription) medications, such as cough syrup.
A. The evidence is insufficient to assess the balance of benefits and harms of primary care–based interventions to reduce drug use in adolescents.
