1. A 58-year-old patient with a history of hyperlipidemia, smoking, and recurrent upper respiratory infections reluctantly comes to your office with his wife for his annual physical examination. He smells of cigar smoke, and you decide to take the opportunity to address smoking cessation using the five A's technique. Which one of the following should be the first step? (check one)

A. Alert the patient's wife that her husband is likely to die of a heart attack if he does not quit smoking immediately.

B. Apologize to the patient for not addressing this important aspect of health sooner.

C. Assist him in developing a clear, written plan of action, including a prescription for bupropion (Wellbutrin) and a list of support Web sites.

D. Ask him, "How many cigars do you smoke each week?"

 

 

2. Which one of the following statements about treating vitamin B12 deficiency is correct? (check one)

A. Oral treatment is not effective.

B. Treatment with low daily doses of oral vitamin B12 is as effective as intramuscular (IM) treatment.

C. Treatment with high daily doses of oral vitamin B12 is as effective as IM treatment.

D. Combination treatment with oral and IM vitamin B12 is more effective than treatment with either route alone.

 

 

3. Which one of the following statements about corticosteroid treatment of asthma or croup in children is correct? (check one)

A. The IM route is more effective than the oral route for treating croup.

B. The IM route is more effective than the oral route for treating asthma.

C. The IM route is an option for treating asthma or croup when adherence is a concern.

D. The IM route is not recommended for delivery of corticosteroids in children.

 

 

4. Which one of the following statements about the use of oral antibiotics in patients with ingrown toenails is correct? (check one)

A. They improve healing if given before toenail avulsion.

B. They improve healing if given after toenail phenolization.

C. They do not improve healing when given after toenail avulsion.

D. They improve healing if given concomitantly with phenolization.

 

 

5. Which one of the following statements about the cause of ingrown toenails is correct? (check one)

A. They are thought to be caused by improper nail trimming or tearing nails off.

B. Trauma is not a factor.

C. Thinner, flatter nails are more likely to become ingrown.

D. Footwear is not a factor.

 

6. Which one of the following statements about acute sinusitis is correct? (check one)

A. Symptoms resolve spontaneously in up to two thirds of patients.

B. Intranasal steroids may exacerbate the infection.

C. Amoxicillin is a highly effective treatment.

D. Longer courses of antibiotics are more effective than shorter courses for treating acute sinusitis.

 

 

7. The U.S. Preventive Services Task Force recommends against the routine use of aspirin or nonsteroidal anti-inflammatory drugs to prevent colorectal cancer in adults at average risk of colorectal cancer. A patient with which one of the following factors would be considered at average risk of colorectal cancer? (check one)

A. A personal history of colorectal cancer.

B. Familial adenomatous polyposis.

C. Hereditary nonpolyposis colon cancer syndromes.

D. A family history of colorectal cancer.

E. A personal history of colorectal adenomas.

 

 

8. In which of the following stages of change should the physician praise and support the patient's efforts? (check all that apply)

A. Contemplation.

B. Preparation.

C. Action.

D. Maintenance.

 

 

9. Which of the following statements about treating outpatient bacterial infections is/are correct? (check all that apply)

A. The intramuscular (IM) route is preferred for treating Treponema pallidum infection.

B. The IM route is preferred for treating pneumonia.

C. The IM route is preferred for treating Neisseria gonorrhoeae infection.

D. The IM route is preferred for administering corticosteroids in children.

 

 

10. Which of the following statements about destruction of the nail matrix following avulsion of the nail is/are correct? (check all that apply)

A. Electrocautery, radiofrequency, and carbon dioxide laser ablation are more expensive than other techniques.

B. No long-term trials evaluating different treatment methodologies have adequately assessed patient satisfaction.

C. Based on a systematic review, partial nail avulsion combined with phenolization appears to have a lower recurrence rate than surgical excision of the nail without phenolization.

D. Local antibiotics reduce the risk of infection following matrix destruction.

 

 

 

 

 

 

 

 

 

 

RESULTS:

 

1-      D

2-      C

3-      C

4-      C

5-      A

6-      A

7-      D

8-      C,D

9-      A,C

10-  A,B,C

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