raghavesh_p
Forum Newbie
Topics: 6
Posts: 17
|
36. A healthy 27-year-old woman comes to the
physician for an annual
examination. She is concerned about her risk for an
abnormal Pap smear
in the future. A history of use of which of the
following would
increase her risk for cervical cancer?
A
) Alcohol
B
) Cervical cap
C
) Cigarettes
D
) Isotretinoin
E
) IUD
37. A 72-year-old man is brought to the physician
by his daughter
because of painless jaundice for 1 month. His wife
died 10 years ago,
and his daughter is his only child. Before examining
the patient, the
daughter asks to speak privately with the physician
and asks that she be
given the results of any tests. She specifically
requests that he not
be given any "bad news." The patient is alert. His
vital signs are
within normal limits. Examination shows scleral
icterus and jaundice.
There is mild abdominal tenderness on palpation. He
is oriented to
person, place, and time. A CT scan of the abdomen
shows a pancreatic mass
with bile duct obstruction and probable metastatic
lesions in the
liver. Which of the following is the most appropriate
next step?
A
) Abide by the daughter's wishes
B
) Ask the patient if he wishes to discuss his test
results,
preferably with his daughter present
C
) Tell the daughter it is a legal requirement to
tell the patient
any and all results of medical testing
D
) Consult with the hospital attorney
E
) Ask another physician to take over the
patient's care
38. A 66-year-old man has had numbness and tingling
in the hands and
feet for 2 weeks. He lives in a homeless shelter and
is well fed. He
has been treated for pulmonary tuberculosis for 4
months with
isoniazid, rifampin, ethambutol, and pyrazinamide. He
is compliant with his
medication regimen but continues to abuse alcohol.
His temperature is 37
C (98.6 F), blood pressure is 136/76 mm Hg, pulse is
72/min, and
respirations are 20/min. He is well nourished but
depressed and irritable.
There is decreased sensation to pain and touch in the
hands and feet in
a stocking-glove distribution. Which of the following
is the most
likely nutritional deficiency?
A
) Folic acid
B
) Niacin
C
) Vitamin A
D
) Vitamin B1 (thiamine)
E
) Vitamin B2 (riboflavin)
F
) Vitamin B6
G
) Vitamin B12 (cyanocobalamin)
H
) Vitamin C
I
) Vitamin D
J
) Vitamin E
K
) Vitamin K
39. A 63-year-old man is brought to the emergency
department 3 hours
after the acute onset of severe right-sided flank
pain. He has a
9-year history of gout. His blood pressure is 110/84
mm Hg, pulse is
78/min, and respirations are 16/min. Examination
shows normal bowel sounds
and no abdominal tenderness or masses. Urinalysis
shows 40
erythrocytes/hpf. Intravenous pyelography confirms a
right ureteral calculus.
Which of the following is the most likely underlying
mechanism of this
patient's urolithiasis?
A
) An increase in urinary pH
B
) Damage to the epithelial lining of the ureters
C
) Lack of inhibitors of crystal formation
D
) Presence of urease-splitting bacteria
E
) Urinary supersaturation with uric acid
40. A 27-year-old nulligravid woman comes to the
physician for
preconceptional counseling. She has a mechanical
mitral heart valve and
chronic rheumatoid arthritis. Her cardiac status is
New York Heart
Association Class II. She feels well. Current daily
medications include
warfarin, prednisone, and acetaminophen with codeine.
Examination shows
no abnormalities except for audible clicking from the
heart valve.
Which of the following is the most appropriate advice
for this patient?
A
) Chemical dependency counseling before pregnancy
B
) Discontinuation of anticoagulant therapy during
pregnancy
C
) Discontinuation of prednisone during pregnancy
D
) Switching from warfarin to heparin before
pregnancy
E
) No change in treatment before or during pregnancy
|
| raghavesh_p
Forum Newbie
Topics: 6
Posts: 17
|
36.C
37.B[cant this be C]
38.F[perp. Neuritis-B6 de.]
39.E[uricacid stones]
40.D[warfarin is teratogenic]
PLEASE CORRECT ME IF I AM WRONG,,, THANKS IN ADVACNE , gl 
|
| gilbert
Forum Junior
Topics: 16
Posts: 45
|
CBFED
|
| Justice
Just signed contract
Topics: 118
Posts: 2,372
|
EBDED
___________________
The winner takes it all...
|
| AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
|
36. E
___________________
seeking study partner in USMLE, Canadian MCC OSCE examination
|
| AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
|
37. C
___________________
seeking study partner in USMLE, Canadian MCC OSCE examination
|
| dr.shailu
Forum Senior
Topics: 26
Posts: 191
|
CBFED is correct.
|
| chummy
Forum Newbie
Topics: 1
Posts: 15
|
CBFED
|
| damngood
Forum Newbie
Topics: 0
Posts: 79
|
i too think 37 is C rest of them i agree with others
|
| fongch
Forum Elite
Topics: 71
Posts: 316
|
36 C
37 B
38 F
39 E
40 D
|
| ManuNastai
|
C
B
F
E
D
|
| snake0613
Forum Elite
Topics: 97
Posts: 194
|
ccfed
|
| usmle12
Forum Senior
Topics: 19
Posts: 194
|
cbfed
|
|
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