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ss | Graded A+| 2025 Latest Updated
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A 28-year-old student is seen in the school health clinic with
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ss complaints
of a hacking cough that is productive of small amounts of sputum
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ss and a runny nose. He does not take any medications, denies any
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ss allergies, and has no significant medical history. Physical examination
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ss reveals a low-grade temperature of 99.9 degrees Fahrenheit,
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respirations of 16/min, a pulse of
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90 beats per minute, and diffuse fine crackles in the base of the lungs.
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A chest radiograph (x-ray) shows diffuse infiltrates on the lower lobe of
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the right lung. The total white blood cell count is 10,500/uL. What is the
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ss most likely diagnosis?ss ss
A) Streptococcal pneumonia ss
B) Mycoplasma pneumonia ss
C) Acute bronchitis ss
D) Legionnaires disease ss
Answer> Mycoplasma pneumonia ss ss
Mycoplasma pneumonia is the organism most commonly seen in children and young
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s s adults. It is easily spread from droplets, from sneezing and coughing, in
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ss close proximity. Diagnosis is based on symptoms and x-ray results of
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ss infiltrates in lower lobes. ss ss ss
1. Which of the following antihypertensive medications has beneficial
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ss effects s s for an elderly White female with osteoporosis?
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A) Calcium channel blocker ss ss
,Calcium channel blockers act by blocking the cal- cium channels in the heart
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muscle and the blood vessels, thereby keeping more calcium in the bones.
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2. All of the following are false statements regarding acute gastritis
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ss except:
A) Chronic intake of nonsteroidal anti-inflammatory drugs (NSAIDs) can
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cause the disorder
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B) Chronic lack of dietary fiber is the main cause of the disorder
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C) The screening test for the disorder is the barium swallow test
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D) The gold standard to evaluate the disorder is a colonoscopy
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Answer> The screen- ing test for the disorder is the barium swallow test
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The gold standard for diagnosing gastric disease is biopsy of gastric and/or
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,nal tissue by upper endoscopy. Chronic use of NSAIDs disrupts the production
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ss of
prostaglandins, which decreases blood supply and then breaks down the
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protective layer of the mucosa, which leads to gastric disease.
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3. Epidemiologic studies show that Hashimoto's disease occurs most ss ss ss ss ss ss ss
ss com- monly in: ss ss
A) Middle-aged to older women ss ss ss
B) Smokers
C) Obese individuals ss
D) Older men ss
Answer> Middle-aged to older women
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Hashimoto's disease commonly occurs in middle-aged to older women.
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4. A 63-year-old patient with a 10-year history of poorly controlled
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ss hyperten- sion presents with a cluster of physical exam findings. Which
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ss of the following indicate target organ damage commonly seen in
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ss hypertensive patients? ss
A) Pedal edema, hepatomegaly, and enlarged kidneys
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B) Hepatomegaly, AV nicking, bibasilar crackles ss ss ss ss
C) Renal infection, S3, neuromuscular abnormalities
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D) Glaucoma, jugular vein atrophy, heart failure ss ss ss ss ss
Answer> Hepatomegaly, AV nicking, bibasilar crackles
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With long-term, uncontrolled hypertension, organ damage may occur. Organs
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com- monly affected include: brain (stroke), eyes (retinopathy, AV nicking,
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bleeding, blind- ness), heart (heart dis- ease, left ventricular hypertrophy, MI,
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, ss Which condition is best de- scribed?
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A) Chronic scabies infection ss ss
B) Lichen sclerosus ss
C) Chronic candidal vaginitis ss ss
D) A physiologic variant found in some older women
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Answer> Lichen sclerosus Lichen sclerosus is a disease of the skin, in which white
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ss spots appear on the skin and
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