Quiz 7 and 8

Question 1

infertility

Answer 1

male
mucus
ovulation
hysterosalpingiogram

Question 2

U.S. Preventive Services Task Force (USPSTF) guidelines recommend that asymptomatic adults with
sustained blood pressure >135/80 mm Hg be screened for

Answer 2

type 2 diabetes mellitus

Question 3

FVC and FEV1/FVC are both less than the lower limit of normals FV

Answer 3

An FEV1/FVC less than the LLN is consistent with an obstructive defect.
A mixed pattern exists when both values are below the LLN, as in this case.

Question 4

adverse eventsof her omeprazole

Answer 4

fractures of the hip, wrist, and spine (SOR B), community-acquired pneumonia (SOR B), Clostridium
difficile and other enteric infections (SOR C), hypomagnesemia (

Question 5

You evaluate an 18-month-old male with fecal impaction and determine that disimpaction is
indicated. Which one of the following would be most appropriate initially? (check one)
A. An oral stimulant such as sennosides (Senokot)
B. An oral osmotic agent such as polyethylene glycol 3350 (MiraLax)
C. An enema using saline, mineral oil, or phosphate soda
D. A bisacodyl (Dulcolax) rectal suppository
E. Manual disimpaction

Answer 5

An oral osmotic agent such as polyethylene glycol 3350 (MiraLax)

Question 6

A 30-year-old female is referred to you by a local optometrist after she was treated several times
for anterior uveitis. You are concerned about an associated systemic disease. She feels well
otherwise, and denies back or joint pain, rash, cough, or fever. A chest radiograph reveals
enlarged mediastinal lymph nodes.

Which one of the following is most likely to be associated with her recurrent uveitis? (

Answer 6

Sarcoidosis

In North America, the most common conditions associated with uveitis are the seronegative
spondyloarthropathies, sarcoidosis, syphilis, rheumatoid arthritis, and reactive arthritis. All of the
conditions listed may be associated with uveitis, but given the chest radiograph findings and clinical
scenario in this case, sarcoidosis is most likely.

Question 7

Which one of the following is a significant risk factor for esophageal adenocarcinoma? (

Answer 7

Esophageal adenocarcinoma has become the predominant type of esophageal cancer in North America and
Europe, and gastroesophageal reflux and obesity are the main risk factors.

Question 8

In older patients with aortic stenosis and a systolic murmur, which one of the following would
be most concerning?

Answer 8

When symptoms begin to appear in a patient with aortic stenosis the prognosis worsens. It is therefore
important to be aware of systolic murmurs in older patients presenting with exertional dyspnea, chest pain,
or dizziness. This can be the first presentation of a downward spiral and the need for rapid valve
replacement.