Nokea
This contagious disease causes fever, headache, stiff neck, photophobia, nausea, vomiting, and altered mental status. What immunization prevents this?
- A. Meningococcal vaccine
- B. Pneumococcal vaccine
- C. Measles, Mumps, and Rubella (MMR) vaccine
- D. Varicella vaccine
Correct Answer: A
Rationale: The meningococcal vaccine prevents infections that cause meningitis.
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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.
Two years later Mr. Hunter reports progression of his urinary symptoms and desires “a pill to make this better.” His current IPSS is 17, with a bother score of 3 indicating moderate voiding symptoms with moderate impact on his quality of life. On review of systems he notes that his vision has worsened, especially in his left eye. His ophthalmologist has recommended cataract surgery. For which of the following medications would initiation of therapy be delayed until after cataract surgery?
- A. Finasteride
- B. Tamsulosin
- C. Tadalafil
- D. Oxybutynin
Correct Answer: B
Rationale: Tamsulosin may cause intraoperative floppy iris syndrome, so it is often delayed until after cataract surgery.
Which of the following statements about community-based services is true?
- A. Senior centers may be used only by low-income older adults.
- B. Funding for Meals on Wheels is solely from local sources.
- C. Area Agencies on Aging usually do not provide services directly to older adults.
- D. The majority of the Administration on Aging budget goes to nutrition programs and community-based supportive services.
Correct Answer: D
Rationale: The majority of the budget for Area Agencies on Aging goes to nutrition and supportive services for older adults.
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.
A 78-year-old male was recently diagnosed with Alzheimer’s disease. He scored 23/30 on his Montreal Cognitive Assessment (MoCA) and his clinical presentation is consistent with mild disease. Which of the following is NOT a common side effect of donepezil?
- A. Thrombocytopenia
- B. Bradycardia
- C. Vivid dreams
- D. Gastrointestinal distress
Correct Answer: A
Rationale: Thrombocytopenia is not a common side effect of donepezil, while bradycardia, vivid dreams, and gastrointestinal distress are.