Assignment : Signs of Prostate Cancer
Question 37. 37. During a digital rectal eam (DRE) on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious? (Points : 2)
An enlarged rubbery gland
A hard irregular gland
A tender gland
A boggy gland
Question 38. 38. Janet is a 30-year-old woman who has been recently diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression? (Points : 2)
A reduced or absent ankle refle
Numbness in the lateral foot
Paresthesia of the perineum and buttocks
Question 39. 39. The criteria for diagnosing generalized aniety disorder in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (tet revision) (DSM-IV-TR) state that ecessive worry or apprehension must be present more days than not for at least: (Points : 2)
Question 40. 40. The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to manage his symptoms of pain and discomfort. Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs to manage his pain? (Points : 2)
You should start with the lowest dose that is effective in managing your pain, because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and hemorrhage.
You should start with the lowest dose that is effective in managing your pain in order to avoid developing tolerance to the medication.
You should take the maimum recommended dose of NSAIDs so that you will not need to take narcotics to control your pain.
It is important to take NSAIDs on an empty stomach in order to increase absorption.
Question 41. 41. A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician epect as a manifestation of the disease? (Points : 2)
42. Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological eamination. As the clinician, you eplain to Sam that low back pain is a diagnosis of eclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc? (Points : 2)
Morning stiffness and limited mobility of the lumbar spine
Unilateral radicular pain symptoms that etend below the knee and are equal to or greater than the back pain
Fever, chills, and elevated erythrocyte sedimentation rate
Pathologic fractures, severe night pain, weight loss, and fatigue
Question 43. 43. Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact? (Points : 2)
c Superficial partial-thickness burns
Deep partial-thickness burns
Question 44. 44. Immunizations are an eample of which type of prevention? (Points : 2)
Question 45. 45. If a previously frostbitten area becomes frostbitten again after it has healed, what might occur? (Points : 2)
Permanent tissue damage may occur, resulting in necrosis to that body part.
The area will be super sensitive.
The area is prone to a repeat frostbite.
The area is as susceptible as any other area.
Question 46. 46. In the United States, what is the second most common connective tissue disease and the most destructive to the joints? (Points : 2)
Systemic lupus erythematosus (SLE)
Rheumatoid arthritis (RA)
Question 47. 47. A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority? (Points : 2)
Question 48. 48. A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding? (Points : 2)
Human papillomavirus (HPV)
Herpes simple virus (HSV)
Question 49. 49. Julie, aged 50, has migraine headaches, frequent asthma attacks, coronary artery disease, and hypertension. Which of the following prophylactic medications would you order for her migraines? (Points : 2)
Question 50. 50. A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of “my feet feel like they are on fire.” He has a loss of vibratory sense, +1 Achilles refle, and a tack embedded in his left heel. Which of the following would be an appropriate treatment? (Points : 2)
Vitamin B12 injections
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