CORRECT ANSWERS
◉ Treatment for mild preeclampsia includes all of the following
except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet
count
D) A prescription of methyldopa (Aldomet) to control blood
pressure. Answer: D) A prescription of methyldopa (Aldomet) to
control blood pressure
Recommended care for women diagnosed with preeclampsia
includes bed rest with bath- room privileges, weight and BP
monitoring, and closely following urine protein and serum protein,
creatinine, and platelet counts. Oral medications are not used as
first-line treatment.
◉ All of the following services are covered under Medicare Part A
except:
A) Inpatienthospitalizations
,B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons. Answer: C) Nursing home care
Medicare A coverage includes inpatient hospitalization and skilled
care given in a certified skilled nursing facility. Most nursing home
care is custodial care (help with bathing, dressing, using a bathroom,
and eating). This care is not covered by Medicare A.
◉ A 28-year-old student is seen in the school health clinic with
complaints of a hacking cough that is productive of small amounts of
sputum and a runny nose. He does not take any medications, denies
any allergies, and has no significant medical history. Physical
examination reveals a low-grade temperature of 99.9 degrees
Fahrenheit, respirations of 16/min, a pulse of 90 beats per minute,
and diffuse fine crackles in the base of the lungs. A chest radiograph
(x-ray) shows diffuse infiltrates on the lower lobe of the right lung.
The total white blood cell count is 10,500/uL. What is the most
likely diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
D) Legionnaires disease. Answer: B) Mycoplasma pneumonia
,Mycoplasma pneumonia is the organism most com- monly seen in
children and young adults. It is easily spread from droplets, from
sneezing and coughing, in close proximity. Diagnosis is based on
symptoms and x-ray results of infiltrates in lower lobes.
◉ A 39-year-old migrant worker presents to the clinic 2.5 days after
a purified protein derivative (PPD) test. What minimum size of
induration would be considered posi- tive for this patient?
A) 3 mm B) 5 mm C) 10 mm D) 15 mm. Answer: C) 10 mm
The PPD is administered on the volar aspect of the lower arm and
read 48 hours after the test is given. The PPD result must have
induration and measure 10 mm or greater to be positive in a low-
risk patient. Induration (firmness with palpation) must be present.
If the site has erythema but no induration, result would be negative.
Color is not important.
◉ All of the following are correct statements regarding the role of
the person named in a durable power of attorney except:
A) The agent's decisions are legally binding
B) The agent can make decisions in other areas of the patient's life
such as financial
issues
, C) The agent can decide for the patient who is on life support when
that life support
can be terminated
D) The patient's spouse has a right to override the agent's decisions.
Answer: D) The patient's spouse has a right to override the agent's
decisions
The person named in a durable power of attorney (the agent) is
designated by the patient to make all medical decisions, as well as
any decisions regarding the patient's private affairs in the event that
the patient becomes incompetent and unable to make his/her own
decisions. No one has the ability to override the agent's decision.
◉ All of the following are true statements regarding Munchausen
syndrome except:
A) It is considered a mental illness
B) The patient has a medical illness that causes an anxiety reaction
and denial
C) The patient fakes an illness in order to gain attention from health
care providers
D) The patient has an inconsistent medical history along with a past
history of
frequent hospitalizations. Answer: B) The patient has a medical
illness that causes an anxiety reaction and denial