#4 Flashcards

1
Q

Which one of the following is considered first-line therapy for behavioral and psychological symptoms of dementia?

A. Establishing routines for toileting, eating, sleep, and socialization.

B. Olanzapine (Zyprexa).

C. Aripiprazole (Abilify).

D. Haloperidol.

A

A. Establishing routines for toileting, eating, sleep, and socialization.

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2
Q

Which one of the following atypical antipsychotics shows a consistent reduction in behavioral and psychological symptoms of dementia?

A. Aripiprazole.

B. Olanzapine.

C. Quetiapine (Seroquel).

D. Risperidone (Risperdal).

A

A. Aripiprazole.

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3
Q

Which one of the following statements about cardiovascular disease in patients with systemic lupus erythematosus (SLE) is correct?

A. Cardiovascular events are less common in patients with SLE than in the general population.

B. Premature cardiovascular disease is much more common in women with SLE.

C. SLE is not an independent risk factor for atherosclerosis.

D. Cardiovascular disease generally becomes a problem only in older women with SLE.

A

B. Premature cardiovascular disease is much more common in women with SLE.

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4
Q

Which one of the following symptoms is common in patients presenting with SLE?

A. Fatigue.

B. Raynaud phenomenon.

C. Malar rash.

D. Photosensitivity.

A

A. Fatigue.

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5
Q

Which one of the following is considered the cornerstone of therapy for SLE?

A. Low-dose glucocorticoids.

B. Chloroquine (Aralen).

C. Nonsteroidal anti-inflammatory drugs.

D. Hydroxychloroquine (Plaquenil).

A

D. Hydroxychloroquine (Plaquenil).

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6
Q

Which one of the following is the most common cause of failure to thrive?

A. Inadequate absorption of nutrients.

B. Increased energy requirement.

C. Inadequate caloric intake.

D. Hypothyroidism.

A

C. Inadequate caloric intake.

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7
Q

Which one of the following should be part of the initial evaluation of all children with failure to thrive?

A. Laboratory screening for inborn errors of metabolism.

B. A food diary.

C. Chromosomal analysis for genetic disorders.

D. Stool cultures.

A

B. A food diary.

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8
Q

Which one of the following statements about hospitalization of patients with failure to thrive is correct?

A. Weight gain during hospitalization generally proves neglect by parents.

B. Extremely poor parent-child interactions should be managed with outpatient psychiatry.

C. Hospitalization should be considered if outpatient treatment is ineffective after 12 months.

D. Hospitalization can provide observed structured feeding evaluations.

A

D. Hospitalization can provide observed structured feeding evaluations.

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9
Q

A 29-year-old man presents to your office for a routine visit. He has a history of being overweight and has hypertension that is controlled by diet and exercise. According to the U.S. Preventive Services Task Force, which one of the following services should you provide as part of this patient’s routine care?

A. Screen for depression only if he reports symptoms suggestive of depression.

B. Screen for depression.

C. Screen for depression and prescribe medication if the screening results are positive.

D. Screen for depression only if he has a family history of depression.

E. Do not screen for depression.

A

B. Screen for depression.

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10
Q

Which one of the following is associated with a greater likelihood of death or readmission within 30 days of hospital discharge?

A. Fewer emergency department visits in the previous six months.

B. Acute/emergent admission.

C. Shorter length of hospital stay.

D. Lower Charlson Comorbidity Index score.

A

B. Acute/emergent admission.

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11
Q

Which one of the following statements about the American Academy of Pediatrics’ (AAP’s) recommendations for routine preventive health is correct?

A. Fluoride varnish should be applied to the teeth starting at one year of age and continue through three years of age.

B. Screening for alcohol use in adolescents is not recommended because it has not been found to be effective.

C. Cholesterol screening is recommended starting at 18 years of age.

D. Screening for critical congenital heart disease with pulse oximetry is now recommended in newborns before hospital discharge.

A

D. Screening for critical congenital heart disease with pulse oximetry is now recommended in newborns before hospital discharge.

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