The unique clinical presentation of a three-month-old infant in the emergency
department leads the care team to suspect botulism. Which of the following
assessment questions posed to the parents is likely to be most useful in the
differential diagnosis?
Question options:
"Is there any mold in your home that you know of?"
"Has your baby ever been directly exposed to any chemical cleaning products?"
"Is there any family history of neuromuscular diseases?"
,"Have you ever given your child any honey or honey-containing products?"
Give this one a try later!
"Have you ever given your child any honey or honey-containing products?"
A 39-year-old male patient has been recently diagnosed with primary hypogonadism.
Which of the following lab results would be most indicative of this diagnosis?
Question options:
Low testosterone levels; normal levels of LH and FSH
Low levels of GnRH
Low free testosterone, LH, and FSH levels
Normal levels of free testosterone; low levels of total testosterone
Give this one a try later!
Low testosterone levels; normal levels of LH and FSH
A 20-year-old male has been diagnosed with testicular cancer and is seeking
information about his diagnosis from a number of websites. Which of the following
statements that he has read is most plausible?
Question options:
"Recent developments in the treatment of testicular cancer mean that few men now
need to have a testicle removed."
"For most men with testicular cancer, bloody urine is their first sign that something is
wrong."
,"Men with cryptorchidism—the term for an undescended testicle—are known to have a
higher risk of developing testicular cancer."
"Testicular cancer is a leading cause of death among males who should be in the
prime of their lives."
Give this one a try later!
"Men with cryptorchidism—the term for an undescended testicle—are
known to have a higher risk of developing testicular cancer."
A male newborn infant has been diagnosed with spina bifida occulta. Which of the
following pathophysiologic processes has most likely contributed to the infant's
health problem?
Question options:
The infant's soma and viscera are underdeveloped.
The child's central and peripheral nervous systems have insufficiently differentiated
during embryonic development.
The infant's spinal cord and meninges protrude through his skin.
The vertebral arches around his neural tube have failed to completely close.
Give this one a try later!
The vertebral arches around his neural tube have failed to completely
close.
A patient with a diagnosis of insomnia is surprised when his physician explains to him
that his brain is still highly active during normal sleep. Which of the following
, statements best captures the character of brain activity during sleep?
Question 9 options:
"Your brain alternates between periods of activity and periods of inactivity when
you're asleep, and these correspond to your eye movement."
"There are four types of brain activity, and actually all of them occur at different stages
of sleep."
"While you're obviously less aware of stimuli when you're asleep, your brain is actually
more active when you're asleep than when you're awake."
"Fewer neurons in your brain are firing when you're asleep, but they're more
synchronized than when you're awake."
Give this one a try later!
"Fewer neurons in your brain are firing when you're asleep, but they're more
synchronized than when you're awake."
A nurse practitioner and social worker are facilitating a family meeting for the children
and wife of a 79-year-old man who has been diagnosed with Alzheimer disease. What
goal of treatment will the clinicians most likely prioritize in their interactions with the
family?
Question options:
Cognitive and behavioral therapy to counteract the agitation, depression, and
suspiciousness associated with Alzheimer disease.
The use of medications such as donepezil and rivastigmine to slow the progression of
the disease
Surgical treatment of the ischemic changes that underlie the manifestations of the
man's disease
department leads the care team to suspect botulism. Which of the following
assessment questions posed to the parents is likely to be most useful in the
differential diagnosis?
Question options:
"Is there any mold in your home that you know of?"
"Has your baby ever been directly exposed to any chemical cleaning products?"
"Is there any family history of neuromuscular diseases?"
,"Have you ever given your child any honey or honey-containing products?"
Give this one a try later!
"Have you ever given your child any honey or honey-containing products?"
A 39-year-old male patient has been recently diagnosed with primary hypogonadism.
Which of the following lab results would be most indicative of this diagnosis?
Question options:
Low testosterone levels; normal levels of LH and FSH
Low levels of GnRH
Low free testosterone, LH, and FSH levels
Normal levels of free testosterone; low levels of total testosterone
Give this one a try later!
Low testosterone levels; normal levels of LH and FSH
A 20-year-old male has been diagnosed with testicular cancer and is seeking
information about his diagnosis from a number of websites. Which of the following
statements that he has read is most plausible?
Question options:
"Recent developments in the treatment of testicular cancer mean that few men now
need to have a testicle removed."
"For most men with testicular cancer, bloody urine is their first sign that something is
wrong."
,"Men with cryptorchidism—the term for an undescended testicle—are known to have a
higher risk of developing testicular cancer."
"Testicular cancer is a leading cause of death among males who should be in the
prime of their lives."
Give this one a try later!
"Men with cryptorchidism—the term for an undescended testicle—are
known to have a higher risk of developing testicular cancer."
A male newborn infant has been diagnosed with spina bifida occulta. Which of the
following pathophysiologic processes has most likely contributed to the infant's
health problem?
Question options:
The infant's soma and viscera are underdeveloped.
The child's central and peripheral nervous systems have insufficiently differentiated
during embryonic development.
The infant's spinal cord and meninges protrude through his skin.
The vertebral arches around his neural tube have failed to completely close.
Give this one a try later!
The vertebral arches around his neural tube have failed to completely
close.
A patient with a diagnosis of insomnia is surprised when his physician explains to him
that his brain is still highly active during normal sleep. Which of the following
, statements best captures the character of brain activity during sleep?
Question 9 options:
"Your brain alternates between periods of activity and periods of inactivity when
you're asleep, and these correspond to your eye movement."
"There are four types of brain activity, and actually all of them occur at different stages
of sleep."
"While you're obviously less aware of stimuli when you're asleep, your brain is actually
more active when you're asleep than when you're awake."
"Fewer neurons in your brain are firing when you're asleep, but they're more
synchronized than when you're awake."
Give this one a try later!
"Fewer neurons in your brain are firing when you're asleep, but they're more
synchronized than when you're awake."
A nurse practitioner and social worker are facilitating a family meeting for the children
and wife of a 79-year-old man who has been diagnosed with Alzheimer disease. What
goal of treatment will the clinicians most likely prioritize in their interactions with the
family?
Question options:
Cognitive and behavioral therapy to counteract the agitation, depression, and
suspiciousness associated with Alzheimer disease.
The use of medications such as donepezil and rivastigmine to slow the progression of
the disease
Surgical treatment of the ischemic changes that underlie the manifestations of the
man's disease
