Complete Solutions
1st line treatment for generalized anxiety disorder:
*buspar
*zoloft
*wellbutrin
*remeron Correct Answers zoloft
Rationale: SSRIs increase serotonin levels in the
brain, which helps improve mood and reduce
anxiety. Serotonin is a neurotransmitter associated
with mood regulation and anxiety reduction. By
blocking the reabsorption (reuptake) of serotonin
into neurons, Zoloft allows more serotonin to be
available in the brain, which can help improve
mood and reduce anxiety.
A "code blue" is called on your patient in the
waiting room of your urgent care. When you arrive,
cardiac monitoring is applied and their rhythm
appears to be normal sinus rhythm with a rate of
80. On palpation over the carotid artery, you do not
feel a pulse. What is the name of this cardiac
rhythm?
*Idioventricular rhythm
*Junctional Tachycardia
*Wandering Atrial Pacemaker (WAP)
*Pulseless Electrical Activity (PEA) Correct Answers
Pulseless Electrical Activity (PEA)
,Rationale: PEA appears as a normal rhythm without
a pulse. Idioventricular rhythm is very slow (20-40),
Junctional tachycardia and WAP both without
pulses are considered PEA also.
A 13 year old female who is diagnosed with iron
deficiency anemia is being treated with ferrous
sulfate. Proper treatment typically leads to the
resolution of anemia within:
*3 months.
*4 weeks.
*8 months.
*2 weeks. Correct Answers 3 months.
Rationale: Due to the time it takes for the
underlying deficit to be corrected as well as the
growth of new red blood cells to mature, 3 months
are typically needed to show recovery with
treatment for iron deficiency.
A 13-year-old is concerned because she has not yet
begun to menstruate. Physical examination
indicates that the patient is at Sexual Maturity
Rating IV and is of average height and weight.
Which of the following would be the most
appropriate response to this patient?
*"We'll need to refer you to an endocrinologist for a
complete workup."
*"I'll give you some pills that will make your
periods start."
,*"Your development is exactly as expected for your
age; you'll probably begin to have periods within a
year."
*"We'll need to do some tests to find out why you
are not having periods." Correct Answers "Your
development is exactly as expected for your age;
you'll probably begin to have periods within a
year."
Rationale: At this stage, girls generally have breast
development with areola enlargement, and the
breasts are nearly adult in size and shape.
Additionally, pubic hair becomes more coarse and
curly, spreading across the pubic area but not
extending to the thighs yet. This is typical
development for a 13-year-old female.
A 13-year-old patient returns to the office
complaining of intermittent headache for the past
couple of years. Which would be the most
concerning symptom? Correct Answers Stiff neck
Rationale: Inflammation of the membranes
(meninges) surrounding the brain and spinal cord,
often caused by a viral or bacterial infection. This
can cause severe headache, stiff neck, fever, and
sensitivity to light.
A 14-year-old with sickle cell anemia has recently
experienced a sickle cell crisis and presents for a
follow-up examination after a recent
hospitalization. It is most important to continue
, monitoring growth, development, and: Correct
Answers hemoglobin levels.
Rationale: Chronic monitoring for patients with
sickle cell disease includes monitoring of
hemoglobin and hematocrit.
A 15-year-old adolescent athlete complains of
chest pain and fainting during intense exercise. On
examination, a systolic ejection murmur is heard
that increases with standing. What is the most
likely diagnosis?
*Aortic stenosis
*Mitral valve prolapse
*Hypertrophic cardiomyopathy
*Pulmonary hypertension Correct Answers
Hypertrophic cardiomyopathy
Rationale: Hypertrophic cardiomyopathy (HCM) is a
genetic heart condition characterized by abnormal
thickening (hypertrophy) of the heart muscle,
particularly the left ventricle. The symptoms of
hypertrophic cardiomyopathy can vary widely
among individuals and can range from mild to
severe. Common symptoms include:
Shortness of Breath: Especially during exertion or
physical activity, due to reduced ability of the heart
to pump effectively.
Chest Pain: This can occur as a result of reduced
blood flow through the heart or when the heart
muscle itself doesn't receive enough oxygen.