#12 Flashcards
Which one of the following formulations should be considered when initiating chronic opioid therapy in a patient at risk of opioid use disorder?
A. Transdermal buprenorphine.
B. Transdermal fentanyl.
C. Methadone.
D. Morphine.
A. Transdermal buprenorphine.
Which one of the following opioids has strong evidence that it causes opioid-induced cardiac arrhythmias?
A. Buprenorphine.
B. Fentanyl.
C. Hydrocodone.
D. Methadone.
D. Methadone.
Which one of the following diagnoses is most likely in a patient with eye pain and a scratchy, gritty, or sandy sensation?
A. Corneal abrasion.
B. Retained foreign body.
C. Conjunctivitis.
D. Keratitis.
C. Conjunctivitis.
Which one of the following tests has the highest sensitivity for assessing visual field deficit in the primary care setting?
A. Snellen chart.
B. Kinetic red test.
C. Static finger wiggle test.
D. Kinetic red test plus the static finger wiggle test.
D. Kinetic red test plus the static finger wiggle test.
Which one of the following characteristics is consistent with episcleritis?
A. Vision is unaffected.
B. It is usually very painful.
C. It causes engorgement of deeper vessels.
D. It causes bluish discoloration.
A. Vision is unaffected.
A 40-year-old man presents with a chronic cough that he has had for three months. Which one of the following elements of the history would support exposure diagnosis of occupational asthma?
A. Painting is one of his hobbies.
B. None of his coworkers has a cough.
C. His symptoms improved when he was on a two-week vacation.
D. He works as an elementary school teacher.
C. His symptoms improved when he was on a two-week vacation.
Which one of the following statements about occupational asthma is correct?
A. Irritant-induced asthma associated with cough and wheezing within 24 hours of exposure is the most common type of occupational asthma.
B. Chlorine is a common irritant among paper mill workers.
C. Latex often triggers irritant-induced asthma in health care workers.
D. Isocyanates are a common trigger of asthma in hairdressers.
B. Chlorine is a common irritant among paper mill workers.
Which one of the following is the most proven prevention strategy for occupational dermatitis?
A. Consistent glove use.
B. Regular application of prework creams.
C. Promotion of traditional soap and water for cleaning over alcohol-based cleansers.
D. Regular application of fragrance-free postwork creams.
D. Regular application of fragrance-free postwork creams.
Which one of the following statements about the interpretation of high-sensitivity troponin test results in patients with chest pain is correct?
A. Any rise in the high-sensitivity troponin level following admission to the emergency department indicates that the patient is no longer at low risk of acute myocardial infarction (AMI).
B. A low or undetectable high-sensitivity troponin level is useful for ruling out AMI, but not for predicting 30-day mortality.
C. An undetectable high-sensitivity troponin level, or a low level that rises only minimally, can identify patients at very low risk of AMI or 30-day mortality.
D. A detectable level of high-sensitivity troponin is diagnostic for AMI.
C. An undetectable high-sensitivity troponin level, or a low level that rises only minimally, can identify patients at very low risk of AMI or 30-day mortality.
A 43-year-old woman with a seven pack-year smoking history presents to your office. She has no health concerns and has not visited a physician in four years. Her blood pressure and pulse are normal, and her body mass index (BMI) is 27 kg per m2. She does not have a family history of diabetes mellitus. According to the U.S. Preventive Services Task Force, which one of the following statements about screening for diabetes is most appropriate for this patient?
A. It is not recommended because her blood pressure is normal.
B. It is not recommended because she does not have a family history of diabetes.
C. It may be recommended in the future if her BMI increases to 30 kg per m2 or greater.
D. It is recommended because she is overweight.
E. The evidence is insufficient to assess the balance of benefits and harms of screening in this patient.
D. It is recommended because she is overweight.
