answers
A 21 y/o m is newly diagnosed with schizophrenia. Which of the
following is should you educate the patient and family about?
A. notifying the patient's school about the diagnosis
B. the importance of medication compliance
C. the low risk of suicide
D. the increased risk of homicidal tendencies Ans✓✓✓ B. the
importance of medication compliance
A 30 y/o female presents asking for help with an anxiety d/o. An
appropriate first line medication would be?
A. Sertraline
B. Cymbalta
C. Wellbutrin
D. Amitriptyline Ans✓✓✓ A. Sertraline
a 61 yo woman presents to your office for a well-women exam. She had
a normal PAP last year and no medical problems. She quit smoking 10
years ago. She reports a family hx for cardio disease, and is sexually
active with her husband,
According to the USPSTF should this woman be screened for ovarian
cancer?
,a. no, USPSTF recommends screening for Ov Ca only in asymptomatic
women 65-79.
b. yes, USPSTF reommends screening Ov Ca with transvag ultrasound in
asymptomatic women
c. no, USPSTF recommends against screening in asymptomatic women
d. yes, USPSTF recommends screening for Ov Ca with serum Cancer
antigen 125 testing.
E. Maybe, USPSTF concluded that current evidence is insufficient to
assess the balance of benefits and hrams of screening for ov ca.
Ans✓✓✓ C. USPSTF recommends against screening for Ov Ca in
asymptomatic women regardless of age or modality. harms outweigh
benefits
All of the following are likely to be reported by patients with acute
bacterial prostatitis except:
Perineal pain
Irritative voiding symptoms
Penile discharge
fever Ans✓✓✓ Penile discharge
An 18 year-old male presents with sudden onset of left-sided scrotal
pain and unilateral loss of the cremasteric reflex. This most likely
represents:
Acute epididymitis
Testicular torsion
,Testicular neoplasm
Incarcerated hernia Ans✓✓✓ Testicular torsion
antidepression discontinuation syndrome Ans✓✓✓ -affects SSRIs, SNRIs,
TCAs
-flu-like symptoms
-cardiac arrhythmias with TCAS
-venlafexine, paxil, cymbalta
-taper slowly
-may last 12-18 months
Characteristics of polycystic ovary syndrome include:
A. Hirsutism, thinness, hypoinsulinemia.
B. Menopausal onset, vitiligo, hyperinsulinemia
.C. Alopecia, thinness, abdominal cramping.
D. Premenarcheal onset, obesity, hyperinsulinemi Ans✓✓✓ D.
Premenarcheal onset, obesity, hyperinsulinemi
Clomiphene Ans✓✓✓ Estrogen partial agonist: synthetic used in
infertility to induce ovulation
- visual symptoms stop
- endometrial lining thins after 3 uses
, Common clinical symptoms of testosterone deficiency include:
A. Erectile dysfunction and a decrease in visceral fat.
B. An increase in lean body mass and infertility.
C. Erectile dysfunction and a decrease in bone mineral density.
D. Loss of libido and increased body hair. Ans✓✓✓ C. Erectile
dysfunction and a decrease in bone mineral density.
day 3 fsh level Ans✓✓✓ fsh >9.5 lowered preg pot
fsh 12-15- marked decrease
fsh >15 perimenopausal
Erectile dysfunction is a complex phenomenon with a variety of causes.
The predominant cause is:
A. Psychological.
B. Vascular.
C. Neurogenic.
D. Drug related. Ans✓✓✓ B. Vascular.
female infertility? Ans✓✓✓ -ovulation disorder
-poor quality ovulation