Nokea
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.
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During an abdominal examination, the NP percusses the bulging area of the abdomen. Which sounds suggest the presence?
- A. Tympanic
- B. Dullness
- C. Hyperresonant sounds
- D. Normal resonance
Correct Answer: B
Rationale: Dullness suggests the presence of fluid or a solid mass in the abdomen, indicating conditions like ascites or tumors.
Which one of the following is most true about aging changes?
- A. Stage 3 and 4 sleep decreases.
- B. Renal perfusion is not reduced, but renal function is reduced.
- C. Hearing acuity declines beginning in middle age.
- D. Prostatic enlargement occurs only in a minority of men.
Correct Answer: A
Rationale: Aging leads to a decrease in the deeper stages of sleep (Stage 3 and 4).
A 27-year-old male patient presents with a painless chancre on the shaft of his penis and regional lymphadenopathy. He is diagnosed with primary syphilis. The best initial treatment is:
- A. Ceftriaxone (Rocephin)
- B. Clindamycin (Cleocin)
- C. Metronidazole (Flagyl)
- D. Benzathine penicillin G (Bicillin L.A)
Correct Answer: D
Rationale: Benzathine penicillin G is the first-line treatment for primary syphilis.
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.
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.