Risk factors associated with breast cancer include all of the following except:
- A. Personal family history of breast cancer
- B. Use of hormone replacement therapy
- C. Post-menopausal obesity
- D. Low socioeconomic status
Correct Answer: D
Rationale: Low socioeconomic status is not a direct risk factor for breast cancer.
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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.
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.
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.
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