#9 Flashcards

1
Q

Which one of the following has the highest positive predictive value for a diagnosis of cystitis in women?

A. Self-diagnosis of cystitis.

B. Urinary frequency.

C. Hematuria.

D. Urinary urgency.

A

A. Self-diagnosis of cystitis.

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2
Q

Which one of the following statements about the use of urine culture in the evaluation of dysuria is correct?

A. All patients with dysuria should have a urine culture to confirm the cause of their infection.

B. Urine culture is recommended for premenopausal women.

C. Urine culture is recommended for patients with diabetes mellitus.

D. Urine culture is no longer recommended because the results are received too late to influence therapy in most cases.

A

C. Urine culture is recommended for patients with diabetes mellitus.

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3
Q

In a patient with suspected obstruction, abscess, stones, or recurrent infection, which one of the following is the preferred initial imaging study?

A. Computed tomography with renal contrast media.

B. Computed tomography without contrast media.

C. Plain radiography of the kidney, ureters, and bladder.

D. Renal ultrasonography.

A

D. Renal ultrasonography.

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4
Q

Which one of the following statements about supraventricular tachycardia (SVT) is correct?

A. It typically occurs in persons with structurally abnormal hearts.

B. The onset of symptoms is gradual.

C. Atrioventricular nodal reentrant tachycardia is the most common type of SVT in adults.

D. There is a progressive increase in the proportion of SVT caused by atrioventricular reciprocating tachycardia as age increases.

A

C. Atrioventricular nodal reentrant tachycardia is the most common type of SVT in adults.

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5
Q

Which one of the following interventions can be used for both short- and long-term management of SVT?

A. Valsalva maneuver.

B. Verapamil.

C. Adenosine.

D. Catheter ablation.

A

B. Verapamil.

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6
Q

Which one of the following is an advantage of cryoablation over radiofrequency ablation in the treatment of SVT?

A. It has a lower rate of postprocedure atrioventricular block.

B. It has a higher success rate.

C. It has a lower recurrence rate in adults.

D. It is the standard treatment in older children.

A

A. It has a lower rate of postprocedure atrioventricular block.

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7
Q

Which one of the following statements about cognitive behavior therapy (CBT) is correct?

A. CBT works by focusing on the relationship between thoughts, emotions, and behaviors.

B. Patients undergoing CBT avoid exposure to unpleasant stimuli.

C. CBT must be used in combination with medications to be effective.

D. Insight into the cause of a patient’s problem is a core principle of CBT.

A

A. CBT works by focusing on the relationship between thoughts, emotions, and behaviors.

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8
Q

Which one of the following statements about CBT in children and adolescents is correct?

A. Punishments should not be used.

B. A focus on behavior changes is preferable to working with cognitive changes.

C. Treatment of autism is most effective when offered at puberty.

D. Behavioral therapy can cause intensification of symptoms in children with anxiety and depression.

A

B. A focus on behavior changes is preferable to working with cognitive changes.

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9
Q

Which of the following statements about CBT and pharmacologic therapy are correct?
(check all that apply)

A. Benzodiazepine use should be avoided in patients undergoing CBT.

B. Compared with psychiatric medications, CBT has more enduring effects.

C. CBT can help reduce polypharmacy in persons with attention-deficit/hyperactivity disorder.

D. They may be used together to reduce symptoms of depression with psychotic features.

A

All answers are correct

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10
Q

Which of the following statements about land-based exercise programs for knee osteoarthritis are correct?
(check all that apply)

A. They are effective for decreasing pain and improving physical function and quality of life.

B. Improvements in pain and physical function are sustained two to six months after treatment.

C. Subgroup analysis demonstrates that quadriceps strengthening is superior to walking programs for improving pain and physical function.

D. Current guidelines by the American College of Rheumatology recommend that all patients with symptomatic knee osteoarthritis be enrolled in an exercise program that matches their ability to participate in the required activities.

A

A. They are effective for decreasing pain and improving physical function and quality of life.

B. Improvements in pain and physical function are sustained two to six months after treatment.

&

D. Current guidelines by the American College of Rheumatology recommend that all patients with symptomatic knee osteoarthritis be enrolled in an exercise program that matches their ability to participate in the required activities.

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