QUESTIONS AND CORRECT ANSWERS|GRADEDE
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Mononucleosis - ANSWER-Symptomatic infection caused by
Epstein-Barr virus with signs such as fatigue, chills, malaise,
anorexia, white tonsillar exudates, lymphadenopathy, and
splenomegaly. Diagnosed using Monospot and CBC.
Trimethoprim-Sulfamethoxazole - ANSWER-First-line
medication for treating urinary tract infections (UTIs) in most
patients. Men should be treated for 7-10 days, while women
may be treated for 3 days for uncomplicated UTIs.
Isotretinoin - ANSWER-Systemic agent for severe
inflammatory acne. Must be used with caution due to
teratogenic effects. Requires effective contraception in
women of childbearing age.
Anticonvulsants - ANSWER-Reduce effectiveness of
contraceptives. Depo-medroxyprogesterone acetate
injections or levonorgestrel-releasing intrauterine devices are
,better contraceptive options for patients taking
anticonvulsants.
Statin Therapy - ANSWER-Recommended for improving lipid
profile and reducing morbidity and mortality associated with
dyslipidemia. Primarily lowers LDL-C levels, but also lowers
triglycerides and increases HDL-C levels.
Malpractice - ANSWER-Occurs when a healthcare
professional's actions fall below the appropriate standard of
care and harm the patient. In this case, the failure to refer a
patient with appendicitis.
Ethical Dilemma - ANSWER-Occurs when a healthcare
professional has a difference of opinion with their employer
based on religious or moral beliefs. Providing emergency
contraception is not against the law or a violation of
standards of practice.
Psoriasis - ANSWER-Characterized by erythematous papules,
red plaques with silvery scales, and Auspitz sign. Treatment
includes topical agents with tar, salicylic acid, and topical
steroids.
Antidepressant Discontinuation Syndrome - ANSWER-Occurs
when treatment with an antidepressant is interrupted and
, can include flu-like symptoms, insomnia, nausea, imbalance,
sensory disturbances, and hyperarousal. Tapering is
recommended.
Tricyclic Antidepressant - ANSWER-Should not be used in men
with benign prostatic hyperplasia (BPH) due to increased risk
of urinary retention.
Intimate Partner Abuse - ANSWER-Requires establishing trust
in the therapeutic relationship, emphasizing that the victim is
not at fault, addressing the victim's safety, and considering an
order of protection against the perpetrator.
Bacteriuria - ANSWER-Increased incidence found in pregnant
women, children, patients with diabetes, and patients over
the age of 70. Pregnant women are at higher risk of
complications.
Hyperglycemia - ANSWER-Can result in diabetic complications
such as retinopathy, hypertension resistant to treatment,
peripheral neuropathy, and accelerated atherosclerosis.
Herpangina - ANSWER-Viral infection common in toddlers
and young children caused by Coxsackie virus. Characterized
by numerous small ulcerations on the tonsils and uvula.