#4 Flashcards
Which one of the following medications has been shown to reduce the incidence of hip fractures in patients with osteoporosis?
A. Raloxifene (Evista).
B. Alendronate (Fosamax).
C. Ibandronate (Boniva).
D. Calcitonin.
B. Alendronate (Fosamax).
After what duration of bisphosphonate therapy should clinicians consider discontinuing the medication in patients without a history of vertebral fractures?
A. 3 years.
B. 5 years.
C. 8 years.
D. 10 years.
B. 5 years.
Which one of the following statements about sleep problems in children is correct?
A. Parental education about sleep schedules is not effective in improving sleep problems.
B. Behavioral interventions in the first six months may not decrease crying, prevent behavioral or sleep problems, or reduce maternal depression.
C. Unmodified extinction is no longer recommended as a behavioral intervention.
D. Modified extinction entails putting an infant to bed and ignoring cries until the morning wake-up time.
B. Behavioral interventions in the first six months may not decrease crying, prevent behavioral or sleep problems, or reduce maternal depression.
Which one of the following recommendations about mealtime responsibilities is helpful when addressing picky eating?
A. Allow the child to feed himself or herself.
B. Give consequences if the child does not eat.
C. Determine mealtimes based on the child’s hunger.
D. Encourage the child to finish the meal even if he or she is full.
A. Allow the child to feed himself or herself.
A postmenopausal woman presents with low sexual desire that is associated with distress. Which one of the following initial approaches to testosterone treatment most clearly reflects the clinical evidence?
A. She should be treated only if she has hypopituitarism or adrenal insufficiency.
B. She should not be treated, but her male partner should.
C. A three- to six-month trial may be considered; however, the evidence of effectiveness is limited and inconsistent, and testosterone is not approved by the U.S. Food and Drug Administration for use in women.
D. Testosterone levels should be measured to evaluate for androgen deficiency.
C. A three- to six-month trial may be considered; however, the evidence of effectiveness is limited and inconsistent, and testosterone is not approved by the U.S. Food and Drug Administration for use in women.
Which one of the following is considered highly effective for sexual dysfunction related to genitourinary syndrome of menopause?
A. A selective serotonin reuptake inhibitor.
B. Sildenafil (Viagra).
C. Bupropion (Wellbutrin).
D. Estrogen.
D. Estrogen.
A 35-year-old man whose parents were born in southeast Asia presents for an office visit. Although he was born in the United States, he does not have any vaccination records from his childhood. According to the U.S. Preventive Services Task Force, which one of the following screening recommendations is appropriate for this patient?
A. Screen for hepatitis B virus (HBV) infection because he is at high risk.
B. Do not screen for HBV infection, but provide the first dose of the HBV vaccination series.
C. Do not screen for HBV infection because he was born in the United States.
D. Screen for HBV infection each year because there is adequate evidence supporting an annual screening interval.
A. Screen for hepatitis B virus (HBV) infection because he is at high risk.
