zianab
Forum Elite
Topics: 17
Posts: 282
|
6. A 23-year-old man is brought to the physician by his mother
because he has heard a voice over the past month telling him to hurt
himself. His mother says that her son has no friends and is a lifelong loner; since graduating from high school, he has been unable to hold a job.
He admits to smoking marijuana occasionally and drinking six beers
weekly. Examination shows a poorly groomed man with poor eye contact. He
has a flat affect and limited facial expression. He says he has no
intention of harming himself or others. Which of the following is the
most appropriate next step in management?
A) Schedule a follow-up visit in 4 weeks
B) Prescribe oral risperidone and schedule a follow-up visit in 2 weeks
C) Admit him to the partial hospital program and prescribe oral lithium carbonate
D) Admit him to the psychiatric unit for detoxification
E) Admit him to the psychiatric unit and prescribe oral imipramine
8. An 18-month-old boy is brought for a well-child examination. He was
born at 37 weeks' gestation and weighed 2800 g (6 lb 3 oz). There were
no prenatal or perinatal complications. Developmental history indicates
that he is able to run and walk up stairs while holding his mother's
hand. He can hold a crayon but does not scribble spontaneously. He is
at the 40th percentile for length and 50th percentile for weight.
Examination shows a crude pincer grasp. Which of the following is the most
appropriate assessment of fine and gross motor development?
Fine Motor Gross Motor
Development Development
A)Delayed normal
B)Normal delayed
C)Delayed delayed
D)Normal normal
9 Five months after beginning fluoxetine to treat obsessive-compulsive
disorder, a 19-year-old man states that he discontinued his medication 2
months ago because he had begun to worry about taking his medication
every day. His initial response to the medication was good. His
symptoms have now returned, and his morning ritual of cleaning and grooming
consumes so much time that his job is in jeopardy. In addition to
education about the nature of his disorder and its treatment, which of the
following is the most appropriate next step in management?
A) Tell the patient to schedule a return visit as
needed
B) Offer to change the medication
C) Request that the patient's parents supervise
administration of medication
D) Monitor the patient's compliance by weekly blood
tests
E) Begin a trial of cognitive-behavior therapy
12. A 55-year-old man is admitted to the hospital
because of progressive shortness of breath for 10 days. He has a
history of chronic venous stasis and deep venous thrombosis. He has been
treated with warfarin since he had several pulmonary emboli 2 years
ago; he takes no other medication. He has smoked two packs of cigarettes
daily for 30 years. He weighs 109 kg (240 lb) and is 165 cm (65 in) tall.
Examination shows jugular venous distention. Echocardiography is
most likely to show which of the following?
A) Left ventricular dilation
B) Mitral stenosis
C) Pericardial thickening and tamponade
D) Right ventricular hypertrophy and dilation
E) Tricuspid stenosis
|
| Guptashutosh
Forum Elite
Topics: 35
Posts: 354
|
6) B, schizo catatonic type
8) A , fine motor is delayed & gross motor is normal
9) E, not sure of the ans
12) D, he has pulmonary htn may be with rt heart failur/cor pulmonale
better explanation are welcome
|
|
| |
| | |
