Nokea
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.
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What is the primary function of the hypothalamus in the human body?
- A. Regulating blood sugar levels
- B. Maintaining body temperature
- C. Producing hormones that control the pituitary gland
- D. Processing sensory information
Correct Answer: C
Rationale: The hypothalamus plays a key role in regulating the endocrine system, particularly through its control of the pituitary gland.
When treating a patient with asthma who is experiencing acute wheezing, which medication should be given to relieve the symptom?
- A. Short acting bronchodilator
- B. Long acting bronchodilator
- C. Inhaled corticosteroid
- D. Combination of methylxanthine and long acting bronchodilator
Correct Answer: A
Rationale: Short-acting bronchodilators like albuterol are used for acute asthma relief.
An 84-year-old male with a history of stroke without residual deficit, systolic heart failure, and type 2 diabetes presents to clinic for follow-up. He is independently living in a retirement community and still works part-time on a golf course. He currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID (twice a day), furosemide 20 mg BID, and lisinopril 10 mg daily. He reports his last colonoscopy was 8 years ago, with no abnormality. He reports he is sexually active with men and women, engaging in receptive oral, receptive anal, and penetrative sex. He states he has had over three sexual partners in the last year with intermittent condom use.
- A. Urine testing
- B. Urine testing, blood testing
- C. Urine testing, blood testing, anal swab
- D. Urine testing, blood testing, anal swab, and oropharyngeal swab
Correct Answer: D
Rationale: Comprehensive STI testing is essential for anyone with multiple sexual partners and inconsistent condom use.
Which of the following is NOT a common safety concern for adult patients?
- A. Physical health risks
- B. Occupational safety
- C. Substance abuse
- D. Childhood vaccinations
Correct Answer: D
Rationale: Childhood vaccinations are not a common safety concern for adult patients.
What further diagnostic steps are required for the seven patients receiving atypical antipsychotics?
- A. All patients should receive 1 week of actigraphy monitoring both on and off their current antipsychotic.
- B. All patients should be immediately referred for cognitive behavioral therapy for insomnia (CBTI).
- C. All patients should receive referral to both psychiatry and neurology, neuroimaging, and screening polysomnography to identify underlying sleep disorder.
- D. Unless there is an underlying suspicion of obstructive sleep apnea (OSA) or other sleep disorder, these patients already meet criteria for irregular sleep-wake phase disorder, and no further diagnostic steps are required.
Correct Answer: C
Rationale: Comprehensive diagnostic steps involving psychiatry, neurology, and neuroimaging are necessary to assess underlying conditions and ensure proper management.