#2 Flashcards

1
Q

Which one of the following is the most common reason that patients stop using antidepressants?

A. Sexual dysfunction.

B. Headache.

C. Nausea and vomiting.

D. Weight gain.

A

C. Nausea and vomiting.

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2
Q

A 65-year-old man taking sertraline (Zoloft) for depression presents to the emergency department with tremor, delirium, and hyperthermia the day after having some dental work performed. Which one of the following medications is most likely responsible for his serotonin syndrome?

A. Oxycodone.

B. Naproxen.

C. Aspirin.

D. Viscous lidocaine.

A

A. Oxycodone.

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3
Q

A 25-year-old man presents with an acutely red, swollen eyelid. Which one of the following is an indication for immediate ophthalmology consultation?

A. Periorbital ecchymosis.

B. Bilateral proptosis.

C. Diplopia.

D. Furuncle at the eyelid margin.

A

C. Diplopia.

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4
Q

Which one of the following terms is defined as a noninfectious mass surrounding the meibomian (sebaceous) gland?

A. Hordeolum.

B. Chalazion.

C. Stye.

D. Blepharitis.

A

B. Chalazion.

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5
Q

Which one of the following statements about the health literacy of U.S. adults is correct?

A. There is no research on whether health literacy is associated with poorer health outcomes.

B. Limited health literacy is relatively uncommon among older adults.

C. More than one-third of U.S. adults have limited health literacy.

D. Rates of limited health literacy are not associated with economic status.

A

C. More than one-third of U.S. adults have limited health literacy.

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6
Q

Which one of the following best reflects current recommendations for printed materials provided to patients?

A. Adding written information to verbal information offers no additional benefit.

B. Text should be no higher than a fifth- to sixth-grade reading level.

C. The use of graphs should be avoided.

D. Written materials should provide comprehensive information about a patient’s medical condition.

A

B. Text should be no higher than a fifth- to sixth-grade reading level.

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7
Q

Based on USPSTF recommendations, which one of the following approaches to screening for cognitive impairment in asymptomatic older adults is correct?

A. Screen using radiography because there is convincing evidence that it provides clinically relevant benefits.

B. Screen using the Mini-Mental State Examination because there is adequate evidence that it moderately improves all-cause mortality.

C. There is uncertainty about the balance of potential benefits and harms of screening in this population.

D. Screen using the Clock Drawing Test because there is high certainty that its benefits substantially outweigh the harms.

A

C. There is uncertainty about the balance of potential benefits and harms of screening in this population.

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8
Q

Which one of the following treatments is most likely to effectively resolve a fungal toenail infection?

A. Oral itraconazole.

B. Oral fluconazole.

C. Oral terbinafine.

D. Topical butenafine.

A

C. Oral terbinafine.

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