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Which of the following conditions usually improves when a woman is taking oral
contraceptives? - ANSWER Human Papillomavirus infection
Migraine headaches
*****Iron deficiency anemia
Herpes simplex virus
Which of the following individuals is likely to have the highest risk of developing
tuberculosis osteomyelitis? - ANSWER A 55-year-old female who is in renal
failure secondary to poorly controlled type 1 diabetes
********A 79-year-old man who is immunocompromised following a bone marrow
transplant
A 30-year-old man who has undergone open reduction and internal fixation of his
fractured tibia
A 68-year-old woman who had a laminectomy 4 days prior for treatment of her chronic
back pain
A 74-year-old female has been diagnosed with osteoporosis after her bone density
scan indicated osteopenia. Which of the following factors would her care team be
most likely to rule out as contributors to her health problem? - ANSWER *****The
woman is African American and was exposed to asbestos in her work.
She has been a heavy drinker for her whole adult life and has diabetes mellitus.
The patient takes corticosteroids for treatment of her long-standing osteoarthritis.
The woman has an estrogen deficiency and has never undergone hormone therapy.
, A 30-year-old woman has sought care because of her recurrent photophobia, tearing,
and eye irritation. During assessment, her care provider asks about any history of cold
sores or genital herpes. What is the rationale for the care provider's line of
questioning? - ANSWER Herpes simplex virus (HSV) conjunctivitis indicates a need
for antiviral rather than antibacterial treatment.
******HSV infection of the cornea is a common cause of corneal ulceration and
blindness.
Chronic viral infection of the eyes can result in HSV autoinoculation of the mouth and
labia.
A history of HSV with eye irritation is suggestive of glaucoma.
A 20-year-old male has been diagnosed with a chlamydial infection, and his primary
care provider is performing teaching in an effort to prevent the patient from infecting
others in the future. Which of the following statements by the patient demonstrates the
best understanding of his health problem? - ANSWER "Either me or a partner
could end up with an eye infection from chlamydia that could make us blind."
"Even though I couldn't end up sterile, a woman that I give it to certainly could."
"Each of the three stages of the disease seems to be worse than the previous one."
*******"Even if I spread it to someone else, there's a good chance she won't have any
symptoms or know she has it."
A 51-year-old woman who has been receiving estrogen and progesterone therapy
(EPT) for the last 5 years has visited her care provider because her peers have told
her about the risks of heart disease, stroke, and breast cancer that could accompany
hormone therapy (HT). How should her care provider respond to her concerns? -
ANSWER "There is a demonstrable increase in breast cancer risk with HT, but the
risk of stroke or heart disease actually goes down slightly."
"All things considered, the benefits of HT outweigh the slightly increased risks of heart
disease, stroke, or breast cancer."
******"HT is actually associated with a decrease in heart disease risk, but there is an
increase in stroke risk; the breast cancer connection is still unclear."
"There's in fact a slight protective effect against stroke associated with HT, but this is
partially offset by increased rates of heart disease and breast cancer."