Nokea
A Hispanic woman who is 26 weeks pregnant states that she recently began eating ice chips between meals.
- A. Have the patient checked for diabetes
- B. Assess the patient for iron deficiency anemia
- C. Encourage the patient to eat more at meal times
- D. Tell the patient that this cultural practice can be harmful
Correct Answer: B
Rationale: Craving ice chips (pica) can be a sign of iron deficiency anemia.
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Randall Johnson, an 80-year-old man with a history of high blood pressure and hypothyroidism, presents with ongoing dizziness. What is the most likely cause of his dizziness?
- A. Orthostatic hypotension
- B. Benign positional paroxysmal vertigo
- C. Overcontrol of thyroid
- D. Ménière disease
Correct Answer: A
Rationale: Orthostatic hypotension is the most likely cause of dizziness in this patient with high blood pressure and hypothyroidism.
Prostate pain is usually located in the:
- A. Supra pubic area
- B. Back
- C. Perineum
- D. In the glans penis
Correct Answer: C
Rationale: Prostate pain is typically felt in the perineum, lower abdomen, or groin.
Desmopressin acetate (DDAVP) nasal spray has been found to be useful in the management of enuresis in children. In which of the following situations is the drug especially beneficial?
- A. Daytime incontinence
- B. Hypertensive children with enuresis
- C. Secondary enuresis
- D. Sleepovers
Correct Answer: D
Rationale: DDAVP is especially beneficial for primary nocturnal enuresis, and may be used during situations like sleepovers.
Why is it important to consider intracranial hemorrhage when a patient presents with epistaxis?
- A. It indicates a possible allergic reaction.
- B. It may suggest a more serious underlying condition.
- C. It is a common cause of nasal congestion.
- D. It usually resolves without treatment.
Correct Answer: B
Rationale: Epistaxis can be a symptom of intracranial hemorrhage, especially if the bleeding is sudden or severe.
Which is the most reasonable first step in the treatment of older men with erectile dysfunction?
- A. Sex therapy
- B. Testosterone
- C. Yohimbine
- D. Sildenafil
Correct Answer: B
Rationale: Testosterone therapy should be considered first if a deficiency is identified, as low testosterone can contribute to erectile dysfunction.