#12 Flashcards
Which one of the following is recommended for patients who spend a lot of time in bed waiting to go to sleep?
A. Daytime naps.
B. Spending less than five hours per night in bed.
C. Limiting time in bed and then increasing it gradually.
D. Exercising shortly before bedtime.
C. Limiting time in bed and then increasing it gradually.
Which one of the following is a benefit of multicomponent therapy over single component therapy for patients with insomnia?
A. Better establishment of a sleep-wake cycle.
B. Higher remission rate.
C. Greater subjective sleep quality.
D. Decreased insomnia-related distress.
B. Higher remission rate.
Which one of the following treatment approaches addresses dysfunctional beliefs about sleep combined with stimulus control, relaxation therapy, and sleep restriction therapy?
A. Temporal control therapy.
B. Paradoxical intention.
C. Cognitive behavior therapy for insomnia.
D. Sleep restriction therapy.
C. Cognitive behavior therapy for insomnia.
Which one of the following statements about hydroxyurea therapy for patients with sickle cell anemia is correct?
A. It is indicated for adults with sickle cell–associated pain that interferes with daily activities.
B. It is indicated for adults with at least three moderate to severe pain crises in a 12-month period.
C. It is indicated for adults with severe symptomatic chronic anemia affecting quality of life.
D. All of the above.
D. All of the above.
A four-year-old girl with sickle cell anemia presents to your office for a routine examination. She is asymptomatic, has not had any severe illnesses requiring hospitalization, and has no history of surgeries. Which one of the following actions is appropriate?
A. Prescribe 125 mg of penicillin twice daily.
B. Refer her for magnetic resonance imaging to assess her risk of stroke.
C. Refer her for transcranial Doppler ultrasonography.
D. Refer her for a dilated retinal examination.
C. Refer her for transcranial Doppler ultrasonography.
A solitary pulmonary nodule is more likely to be malignant if it has which one of the following characteristics?
A. Diameter less than 5 mm.
B. Stable size over a two-year period.
C. Central calcification.
D. Subsolid form.
D. Subsolid form.
In which one of the following situations is fluorodeoxyglucose positron emission tomography most cost-effective for workup of a solitary pulmonary nodule?
A. Reevaluation of a pulmonary nodule found on chest radiography.
B. Surveillance of a nodule for change in size.
C. Discordant clinical pretest probability and computed tomography results.
D. Solid indeterminate nodules 4 mm or greater in diameter.
C. Discordant clinical pretest probability and computed tomography results.
Which one of the following factors increases a child’s risk of iron deficiency anemia?
A. Starting cow’s milk in the first year of life.
B. Bottle feeding in the first year of life.
C. High socioeconomic status.
D. Height below the 95th percentile.
E. Exclusively breastfeeding at three months of age.
A. Starting cow’s milk in the first year of life.
