ROSH FM Boost Exam Questions And Answers Complete Study Solutions

A 14-year-old girl and her mother present to the clinic for a sports physical. The patient just started high school and wishes to try out for the basketball team. She is feeling well, and her past medical history is unremarkable. The structure of the office visit is outlined for the patient and her mother. In order to preserve confidentiality, which of the following steps of the office visit should be performed in the presence of both the patient and her mother? A. Determine method of notification of laboratory results B. Discuss and assure confidentiality C. Obtain medical history, including risk-taking behaviors D. Provide patient health guidance - Answer-B. Discuss and assure confidentiality A 17-year-old woman presents for routine evaluation of her asthma. She notes daily symptoms requiring the use of her rescue inhaler as well as nocturnal awakenings two times per week. What is the most appropriate treatment regimen for controlling the patient's asthma symptoms? A. Continue short-acting inhaled beta-2-agonist as needed B. Short-acting inhaled beta-2-agonist as needed plus high-dose inhaled corticosteroid and long-acting inhaled beta-2-agonist C. Short-acting inhaled beta-2-agonist as needed plus low-dose inhaled corticosteroidY D. Short-acting inhaled beta-2-agonist as needed plus low-dose inhaled corticosteroid and long-acting inhaled beta-2-agonist - Answer-D. Short-acting inhaled beta-2-agonist as needed plus low-dose inhaled corticosteroid and long-acting inhaled beta-2-agonist A 20-year-old man presents with complaints of painful urination and penile discharge. He reports having multiple sexualpartners. On exam, there is evidence of purulence expressed from the urethra. No genital ulcers are present. Gram stain of the urethral discharge reveals Gram-negative intracellular diplococci. Which of the following is the most appropriate treatment for the suspected diagnosis? A. Ceftriaxone 500 mg intramuscularly and doxycycline 100 mg twice daily orally for 7 days B. Ciprofloxacin 500 mg orally twice daily for 10 days C. Doxycycline 100 mg orally twice daily for 7 days D. Metronidazole 2 gram single oral dose - Answer-A. Ceftriaxone 500 mg intramuscularly and doxycycline 100 mg twice daily orally for 7 daysA 22-year-old man presents to the urgent care clinic with shortness of breath, facial swelling and rash. His mother states he was stung by a wasp 20 minutes ago and almost immediately began to have difficulties speaking and breathing. He has a heart rate of 110 beats per minute, respiratory rate 36 breaths per minute, oxygen saturation 92% on room air and blood pressure 92/46 mm Hg. An intravenous line has been placed. What is the most appropriate first step in your management? A. Administer diphenhydramine 50 mg IV B. Administer epinephrine 0.3 mg IM C. Administer methylprednisolone 125 mg IV push D. Administer normal saline infusion at 1,000 cc/hr - Answer-B. Administer epinephrine 0.3 mg IM A 22-year-old woman presents with a mass in her right breast that she noticed while showering. She has noticed pain in the area just prior to her menstrual cycles each month. An ultrasound is ordered and shows multiple cystic lesions in the right breast. Which of the following historical factors may be contributing to this condition? A. Family history of breast cancer B. Frequent alcohol consumption C. Obesity D. Tobacco use - Answer-B. Frequent alcohol consumption