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Women with a history of pelvic inflammatory disease (PID) have an increased
risk for all of the following complications except:
A) Ectopic pregnancy
B) Scarring of the fallopian tube(s)
C) Infertility
D) Ovarian cysts - ANSWER-D) Ovarian cysts
Women with a history of pelvic inflammatory disease (PID) have a higher risk
of ectopic pregnancy, scarring of the fallopian tubes, and infertility due to the
scarring and trauma caused by the pelvic inflammation.
The differential diagnosis for genital ulceration includes all of the following
except:
A) Syphilis
B) Genital herpes
C) Chancroid
D) Molluscum contagiosum - ANSWER-D) Molluscum contagiosum
,Genital ulcers may occur with syphilis, genital herpes, and chancroid.
Molluscum contagiosum is a viral infection that causes smooth, round tiny
papules, approximately 5 mm or less, that have a central umbilication with a
white plug present.
Lead poisoning can cause which type of anemia?
A) A mild macrocytic anemia
B) Normocytic anemia
C) Microcytic anemia
D) A mild hemolytic anemia - ANSWER-C) Microcytic anemia
Lead poisoning can cause microcytic anemia. Signs and symptoms of lead
poisoning are abdominal pain, constipation, vomiting, and blue-black line on
the gums. Lead causes anemia by mimicking healthful minerals such as
calcium, iron, and zinc. It is absorbed by the bones, where it interferes with the
production of RBCs. This absorption can also interfere with calcium absorption
that is needed to keep the bones healthy.
Hypovolemic shock would most likely occur with fractures of the:
A) Spine
B) Pelvis
C) Femur
D) Humerus - ANSWER-B) Pelvis
Hypovolemic shock can occur from a fractured pelvis secondary to internal
bleeding from a fractured bone fragment that lacerates an artery or vein. The
pelvis can accommodate a large amount of fluid.
Podagra is associated with which of the following?
,A) Rheumatoid arthritis
B) Gout
C) Osteoarthritis
D) Septic arthritis - ANSWER-B) Gout
Podagra is pain in the joint of the great toe due to the accumulation of uric acid
and salts in the joint.
While assessing for a cardiac murmur, the first time that a thrill can be palpated
is at:
A) Grade II
B) Grade III
C) Grade IV
D) Grade V - ANSWER-C) Grade IV A thrill is palpated at grade IV.
A medium-pitched harsh mid-systolic murmur is best heard at the right second
ICS of the chest. It radiates into the neck. Which of the following is the correct
diagnosis?
A) Aortic stenosis
B) Pulmonic stenosis
C) Aortic regurgitation
D) Mitral stenosis - ANSWER-A) Aortic stenosis
The murmur associated with aortic stenosis can be auscul- tated as harsh and
high pitched in the right second intercostal space; it typically radiates to the
carotid arteries and apex.
, Which type of hepatitis virus infection is more likely to result in chronic
hepatitis and increased risk of developing hepatocellular carcinoma?
A) Hepatitis Avirus
B) Hepatitis B virus
C) Hepatitis C virus
D) Both hepatitis B and hepatitis C - ANSWER-D) Both hepatitis B and
hepatitis C
Of the primary hepatitis viruses, only B and C are associated with
hepatocellular cancer.
What is the caloric content of infant formula and breast milk?
A) 10 kcal/30 mL
B) 15 kcal/30 mL
C) 20 kcal/30 mL
D) 25 kcal/30 mL - ANSWER-C) 20 kcal/30 mL
The caloric content of infant formula and breast milk is 20k cal/30 mL.
A 19-year-old female has recently been diagnosed with acute hepatitis B. She is
sexually active and is monogamous. She reports using condoms inconsistently.
What would you recommend for her male sexual partner who was also tested
for hepatitis with the following results: HBsAg (−), anti-HBs (−), anti-HCV (−),
anti-HAV (+)?
A) A hepatitis B vaccination
B) Hepatitis B immunoglobulin