Nokea
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.
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All of the statements about Medicaid are true except:
- A. Medicaid is jointly funded by federal and state governments.
- B. Medicaid provides coverage for low-income people of all ages.
- C. The coverage provided under Medicaid is the same in every state.
- D. Long-term care for elderly and disabled people accounts for the largest proportion of Medicaid spending.
Correct Answer: C
Rationale: Medicaid coverage varies by state and is not the same in every state.
A 7-year-old child has been diagnosed with acute sinusitis. The drug class that should be avoided is:
- A. Antihistamines
- B. Expectorants
- C. Decongestants
- D. Nasal steroids
Correct Answer: A
Rationale: Antihistamines should be avoided in children with sinusitis, as they can dry secretions and worsen symptoms.
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.
How many chains of lymph nodes should be assessed during a clinical examination?
- A. Five chains
- B. Seven chains
- C. Nine chains
- D. Eleven chains
Correct Answer: B
Rationale: Seven chains of lymph nodes are typically assessed during a clinical examination, including cervical, axillary, and inguinal regions.
A 70-year-old man walks 20 minutes most days of the week. He has begun to complain of pain in his left calf when he is walking. The problem has gotten gradually worse and now he is unable to complete his 20-minute walks without stopping to rest. What choice best describes the pain associated with peripheral artery disease?
- A. A sharp, stabbing pain
- B. A dull pain and cramp
- C. An electric shock
- D. A pulsating pain
Correct Answer: B
Rationale: Claudication pain due to peripheral artery disease is typically dull and cramp-like during exercise.