Nokea
A common pathological finding in a patient with asthma is:
- A. Necrosis of small airways
- B. Absence of goblet cells
- C. Absence of ciliary regeneration
- D. Hypertrophy of smooth muscle
Correct Answer: D
Rationale: Asthma is characterized by smooth muscle hypertrophy, airway remodeling, and inflammation.
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Recommended combination therapy for uncomplicated anorectal and pharyngeal gonorrhea is?
- A. Ceftriaxone and benzathine penicillin
- B. Benzathine penicillin and doxycycline
- C. Doxycycline and ciprofloxacin
- D. Ceftriaxone and azithromycin
Correct Answer: D
Rationale: The recommended treatment for gonorrhea is ceftriaxone and azithromycin for uncomplicated infections.
A 32-year-old woman presents with dull puffiness of the eyes, pronounced non-pitting periorbital edema. This finding is suggestive of:
- A. Nephrotic syndrome
- B. Myxedema
- C. Cushing syndrome
- D. Sinusitis
Correct Answer: B
Rationale: Myxedema, associated with hypothyroidism, causes puffiness and edema around the eyes.
Rh-negative women should receive Rho (D) immunoglobulin at what gestational time?
- A. 6 weeks
- B. 12 weeks
- C. 28 weeks
- D. 35 weeks
Correct Answer: C
Rationale: RhoGAM is administered at 28 weeks for Rh-negative women.
A patient arrives at the clinic appearing disheveled, with a flat affect and difficulty maintaining eye contact. Based on the general appearance assessment, which of the following conclusions might you draw?
- A. The patient is likely experiencing a physical illness.
- B. The patient may be suffering from a mental health issue.
- C. The patient is well-adjusted and healthy.
- D. The patient is simply tired.
Correct Answer: B
Rationale: A flat affect and difficulty maintaining eye contact are commonly associated with mental health issues, such as depression.
Ophthalmoscopic examination of a 40-year-old carpenter reveals a triangular thickening of the bulbar conjunctiva across the outer surface of the cornea. This condition is termed:
- A. Corneal arcus
- B. Corneal scar
- C. Pterygium
- D. Cataract
Correct Answer: C
Rationale: A pterygium is a growth of the conjunctiva over the cornea.